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BETH ANGLE
NPI 1639683824
Licensed Practical Nurse in Centralia, IL

Active since November 27, 2017
904 E. MARTIN LUTHER KING DRIVE, CENTRALIA, IL 62801(618) 533-1391(618) 533-0012 Get Directions Write a Review

NPPES record last updated: November 27, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Beth Angle NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BETH ANGLE (NPI 1639683824) is an individual licensed practical nurse in Centralia, Illinois, licensed in Illinois (043123661) and active in the NPI registry since November 2017.

NPPES Registry Identity

NPI1639683824
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameBETH ANGLE
Location Address904 E. MARTIN LUTHER KING DRIVECentralia, IL 62801-3058
Mailing Address904 E. Martin Luther King DriveCentralia, IL 62801-3058 · (618) 533-1391 · Fax (618) 533-0012
Phone(618) 533-1391
Fax(618) 533-0012
Sole ProprietorNo
Enumeration DateNovember 27, 2017
✔ NPI 1639683824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in IL · 043123661
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
904 E. MARTIN LUTHER KING DRIVE, Centralia, IL 62801
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Other Identifiers 1

Medicaid370915481007IL

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. LOLITA ISAIAH
Counselor (Mental Health)
904 E. MARTIN LUTHER KING DRIVE
CENTRALIA, IL 62801
Marion County (618) 533-1391
LINDA HANNA
Counselor
904 E. MARTIN LUTHER KING DRIVE
CENTRALIA, IL 62801
Marion County (618) 533-1391
ANGEL WAGNER
Counselor
904 E. MARTIN LUTHER KING DRIVE
CENTRALIA, IL 62801
Marion County (618) 533-1391
ADAM BORGES
Counselor
904 E. MARTIN LUTHER KING DRIVE
CENTRALIA, IL 62801
Marion County (618) 533-1391
ALAYNA MOORE
Counselor
904 E. MARTIN LUTHER KING DRIVE
CENTRALIA, IL 62801
Marion County (618) 533-1391
WENDY SUEY
Counselor
904 E. MARTIN LUTHER KING DRIVE
CENTRALIA, IL 62801
Marion County (618) 533-1391
JANNA PIERCE
Counselor
904 E. MARTIN LUTHER KING DRIVE
CENTRALIA, IL 62801
Marion County (618) 533-1391
KURTISS HASSEBROCK
Counselor
904 E. MARTIN LUTHER KING DRIVE
CENTRALIA, IL 62801
Marion County (618) 533-1391

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beth Angle's NPI number?

The NPI number for Beth Angle is 1639683824. It was assigned to this individual provider in the NPPES registry on November 27, 2017.

Where is Beth Angle located?

Beth Angle practices at 904 E. Martin Luther King Drive, Centralia, IL 62801. The listed phone number is (618) 533-1391.

What is Beth Angle's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Beth Angle was last updated on November 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.