Pike, Angela Dawn

Pike, Angela Dawn is an individual health care provider with primary practice located at 412 N Vine , Magnolia AR 71753-2842. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Pike, Angela Dawn can be contacted via phone (870) 234-7500.

Contact Information

Primary practice address
412 N Vine Magnolia AR 71753-2842
Phone: (870) 234-7500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2011027232 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 53-77463-092 Kansas
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 218276 Arkansas
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 2011027232 Missouri

Profile Details

NPI number 1790065068
LBN Legal business name Pike, Angela Dawn
Credentials DNP, FNP-C, PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2011
Last updated Nov 10th, 2023 - about last year

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 1790065068 NPPES
Missouri Other P00991383 RR MEDICARE
Missouri MEDICAID 1790065068 RR MEDICARE
Missouri MEDICAID 200738960A RR MEDICARE

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