Individual
ANDREA D'ANGELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1100 BERGSLIEN ST, BALDWIN, WI 54002-2600
(715) 684-1111
Mailing address
1100 BERGSLIEN ST, BALDWIN, WI 54002-2600
(715) 684-1111
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3255-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36042100
—
WI
Enumeration date
08/24/2007
Last updated
01/24/2024
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