Individual
MRS. ANGELA MAE PATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
912 CENTRAL AVE, GRANT, NE 69140-3099
(308) 352-7100
(308) 352-7290
Mailing address
7 PARKWAY AVE, GRANT, NE 69140-3205
(308) 352-2622
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
111300
NE
Other
Enumeration date
09/13/2011
Last updated
11/26/2013
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