Individual
ANGELA STANGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1411 FALLS AVE E STE 105, TWIN FALLS, ID 83301-3455
(208) 358-3637
Mailing address
1411 FALLS AVE E STE 105, TWIN FALLS, ID 83301-3455
(208) 358-3637
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
N-34627
ID
363LG0600X
Gerontology Nurse Practitioner
Primary
67009
ID
Other
Enumeration date
12/28/2020
Last updated
01/17/2021
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