Individual
MRS. ANGELA S MASSUTTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
520 W WALNUT ST, OGLESBY, IL 61348-1400
(815) 883-3588
(815) 883-3604
Mailing address
520 W WALNUT ST, OGLESBY, IL 61348-1400
(815) 883-3588
(815) 883-3604
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209015063
IL
Other
Enumeration date
11/02/2016
Last updated
05/07/2021
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