Anderson, Angela Rene

Anderson, Angela Rene is an individual health care provider with primary practice located at 1401 E. State St. 61104, Rockford IL 61104. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, which is considered as her primary health care specialty. Anderson, Angela Rene can be contacted via phone (779) 696-4425.

Contact Information

Primary practice address
1401 E. State St. 61104 Rockford IL 61104
Phone: (779) 696-4425
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 209026401 Illinois

Profile Details

NPI number 1316657778
LBN Legal business name Anderson, Angela Rene
Credentials MSN, APRN, NNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2022
Last updated Nov 28th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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