Pool, Angela Renee
Pool, Angela Renee is an individual health care provider with primary practice located at 4415 Us Highway 331 S , Defuniak Springs FL 32435-6307. 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 / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Pool, Angela Renee can be contacted via phone (850) 951-4556.Contact Information
Primary practice address
4415 Us Highway 331 S
Defuniak Springs FL 32435-6307
Phone: (850) 951-4556
Fax: (850) 951-4527
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APRN11012186 | Florida |
Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | R0072345 | Oklahoma |
Profile Details
NPI number | 1447338603 |
---|---|
LBN Legal business name | Pool, Angela Renee |
Credentials | ARNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 2nd, 2006 |
Last updated | Mar 21st, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1447338603 | NPPES |
Oklahoma | MEDICAID | 200100690A | |
Oklahoma | MEDICAID | 200804758 | |
Oklahoma | MEDICAID | 1447338603 | |
Oklahoma | Other | 248704113 | |
Oklahoma | Other | 5100141 |
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