Todd, Angela Marie

Todd, Angela Marie is an individual health care provider with primary practice located at 1306 Gemini Cir Ste 1 , Ottawa IL 61350. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Todd, Angela Marie can be contacted via phone (815) 433-9200.

Contact Information

Primary practice address
1306 Gemini Cir Ste 1 Ottawa IL 61350
Phone: (815) 433-9200
Fax: (815) 705-1716
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209.010887 Illinois

Profile Details

NPI number 1336565134
LBN Legal business name Todd, Angela Marie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2014
Last updated May 10th, 2021 - about 3 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 1336565134 NPPES
Illinois Other 209.010887 IL LICENSE

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