Angela M Willett is a Family in Paducah, Kentucky. Angela M Willett practices all healthcare services and medical treatments related to Family. The NPI Number for Angela M Willett is 1558348573. The last update date is 2020-12-16.
Angela M Willett's current location address is 2605 Kentucky Ave, Paducah, Kentucky. You can contact this provider via phone number 2704157653 and fax number 2705758359. The mailing address for Angela M Willett is 2605 Kentucky Ave, Paducah, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Angela M Willett |
|---|---|
| Address | 2605 Kentucky Ave, Paducah, Kentucky |
| Phone Number | 2704157653 |
| Fax Number | 2705758359 |
| Sole Proprietor | N |
| Credentials | ARNP |
NPI Number Detail
| NPI Number | 1558348573 |
|---|---|
| Provider Enumeration Date | 2005-12-30 |
| Last Updated Date | 2020-12-16 |
Provider Mailing Address Detail
| Address | 2605 Kentucky Ave |
|---|---|
| City | Paducah |
| State | Kentucky (KY) |
| Post Code | 420033800 |
| Phone Number | 2704157653 |
| Fax Number | 2705758359 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 3004243 |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 78012325 | KY | -- |
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What is the unique provider identifier assigned to Angela M Willett?
The Angela M Willett has been issued the NPI (National Provider Identifier) 1558348573 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Angela M Willett located?
The Angela M Willett is located at 2605 Kentucky Ave, Paducah, KY 420033800.
What is Angela M Willett's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Angela M Willett is Family, and the taxonomy classification code that categorizes this area of expertise is 363Lf0000X.
On what date was the 1558348573 assigned to Angela M Willett?
The Angela M Willett was issued its 1558348573 on 2005-12-30, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Angela M Willett most recently updated?
The details pertaining to the Angela M Willett, including its address, specialty, and other relevant information, were last refreshed on 2020-12-16.