Dodge, Angela L

Dodge, Angela L is an individual health care provider with primary practice located at 929 N Saint Francis St , Wichita KS 67214-3821. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Dodge, Angela L can be contacted via phone (316) 268-5775.

Contact Information

Primary practice address
929 N Saint Francis St Wichita KS 67214-3821
Phone: (316) 268-5775
Fax: (316) 291-7496
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 46215 Kansas
Nursing Service Providers / Registered Nurse 163W00000X 139521322 Kansas

Profile Details

NPI number 1588829139
LBN Legal business name Dodge, Angela L
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2008
Last updated Nov 30th, 2010 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1588829139 NPPES
Kansas MEDICAID 200567260A
Kansas Other 110990010

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