Angela Dawn Herndon in Mascoutah - Nurse Practitioner
Angela Dawn Herndon - NPI 1265548986
Angela Dawn Herndon is a Nurse Practitioner in Mascoutah, Illinois. Angela Dawn Herndon practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Angela Dawn Herndon is 1265548986. The last update date is 2007-07-08.
Angela Dawn Herndon's current location address is 739 N Jefferson St, Mascoutah, Illinois. You can contact this provider via phone number 6185668810 and fax number 6185667121. The mailing address for Angela Dawn Herndon is 739 N Jefferson St, Mascoutah, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Angela Dawn Herndon |
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Address | 739 N Jefferson St, Mascoutah, Illinois |
Phone Number | 6185668810 |
Fax Number | 6185667121 |
Sole Proprietor | N |
Credentials | APN |
NPI Number Detail
NPI Number | 1265548986 |
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Provider Enumeration Date | 2006-08-23 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 739 N Jefferson St |
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City | Mascoutah |
State | Illinois (IL) |
Post Code | 622581447 |
Phone Number | 6185668810 |
Fax Number | 6185667121 |
Provider's Primary Taxonomy Detail
Speciality | Nurse Practitioner |
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Taxonomy | 363L00000X |
Licence No | 41328145 |
Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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What is the Angela Dawn Herndon's unique identification number?
The Angela Dawn Herndon has been assigned the NPI (National Provider Identifier) Number 1265548986 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Angela Dawn Herndon's facilities are geographically located?
The facilities of Angela Dawn Herndon are physically situated at the following location: 739 N Jefferson St, Mascoutah, IL, 622581447.
What is Angela Dawn Herndon's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Angela Dawn Herndon's specialized field of practice is Nurse Practitioner, and the corresponding taxonomy code that categorizes this area of specialization is 363L00000X.
On what date did Angela Dawn Herndon receive its 1265548986 assignment from the Centers for Medicare & Medicaid Services?
The Angela Dawn Herndon was assigned its 1265548986 on 2006-08-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Angela Dawn Herndon's information last updated?
The Angela Dawn Herndon's information was last updated on 2007-07-08.