Individual
ANGELA K ASTLEFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
3701 DOTY RD, WOODSTOCK, IL 60098
(815) 338-6600
(815) 206-5376
Mailing address
3701 DOTY RD, WOODSTOCK, IL 60098-7509
(815) 338-6600
(815) 206-5376
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209013707
IL
363LA2200X
Adult Health Nurse Practitioner
209013707
IL
363LG0600X
Gerontology Nurse Practitioner
Primary
209013707
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
209013707
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041349814
RN LICENSE
IL
01
—
209013707
STATE LICENSE
IL
Enumeration date
02/10/2016
Last updated
12/19/2018
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