Angela S Declue is a Family in Potosi, Missouri. Angela S Declue practices all healthcare services and medical treatments related to Family. The NPI Number for Angela S Declue is 1659343903. The last update date is 2014-06-17.
Angela S Declue's current location address is 200 Health Way Dr, Potosi, Missouri. You can contact this provider via phone number 5734382977 and fax number 5734382874. The mailing address for Angela S Declue is 200 Health Way Dr, Potosi, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Angela S Declue |
|---|---|
| Address | 200 Health Way Dr, Potosi, Missouri |
| Phone Number | 5734382977 |
| Fax Number | 5734382874 |
| Sole Proprietor | N |
| Credentials | FNP |
NPI Number Detail
| NPI Number | 1659343903 |
|---|---|
| Provider Enumeration Date | 2006-02-02 |
| Last Updated Date | 2014-06-17 |
Provider Mailing Address Detail
| Address | 200 Health Way Dr |
|---|---|
| City | Potosi |
| State | Missouri (MO) |
| Post Code | 636641434 |
| Phone Number | 5734382977 |
| Fax Number | 5734382874 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 132460 |
|
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 |
|---|---|---|---|
| 428971402 | MO | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Angela S Declue?
The Angela S Declue has been issued the NPI (National Provider Identifier) 1659343903 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Angela S Declue's facilities are situated?
The facilities of Angela S Declue are physically located at the following address: 200 Health Way Dr, Potosi, MO, 636641434.
What is Angela S Declue's specialized field of practice, and what is the corresponding taxonomy classification code?
The Angela S Declue's area of specialization is Family, and the corresponding taxonomy code that categorizes this field of practice is 363Lf0000X.
On what date was the 1659343903 assigned to Angela S Declue?
The Angela S Declue was issued its 1659343903 on 2006-02-02, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Angela S Declue, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Angela S Declue, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-06-17.
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