ANGELA MARY NP-C
NPI 1144511106
Nurse Practitioner - Family in Springfield, MO
Active since April 26, 2011
About Angela Mary Np-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANGELA MARY NP-C (NPI 1144511106) is an individual family provider in Springfield, Missouri, licensed in Missouri (2011006711) and active in the NPI registry since April 2011.
NPPES Registry Identity
NPI1144511106
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANGELA MARYCredential: NP-C
Location Address1153 E ELM STSpringfield, MO 65806-2612
Mailing Address1153 E Elm StSpringfield, MO 65806-2612 · (866) 389-2727
Phone(866) 389-2727
Sole ProprietorNo
Enumeration DateApril 26, 2011
Last NPPES UpdateJune 17, 2016
✔ NPI 1144511106 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MO · 2011006711
1153 E ELM ST, Springfield, MO 65806
Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1144511106, enumerated as an "individual" on April 26, 2011.
The provider is located at 1153 E ELM ST SPRINGFIELD, MO 65806 and the phone number is (866) 389-2727.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.