Redder, Angela Marie

Redder, Angela Marie is an individual health care provider with primary practice located at 201 Yellowstone Ave , Cody WY 82414-9313. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Redder, Angela Marie can be contacted via phone (307) 527-7561.

Contact Information

Primary practice address
201 Yellowstone Ave Cody WY 82414-9313
Phone: (307) 527-7561
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 531 Wyoming
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X TL531 Wyoming
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X MED-PAC-LIC-51041 Montana

Profile Details

NPI number 1891070744
LBN Legal business name Redder, Angela Marie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2011
Last updated Dec 14th, 2021 - about 4 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 1891070744 NPPES
Wyoming Other 531 WYOMING LICENSE
Wyoming Other TL531 WYOMING LICENSE

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