Individual
ANGELA FAUSETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
5936425-3102
UT
363LA2200X
Adult Health Nurse Practitioner
Primary
14058264-4405
UT
Other
Enumeration date
05/15/2023
Last updated
03/17/2025
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