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Individual

ANGELA B HARDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
3443 S NATIONAL AVE, SPRINGFIELD, MO 65807-7308
(417) 269-2000
(417) 269-2038
Mailing address
PO BOX 802843, KANSAS CITY, MO 64180-2843
(417) 269-5712
(417) 269-7567

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
082514
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
159089
BLUE CROSS OF MO
05
424962207
MO
01
431560263
TRICARE WEST
Enumeration date
09/25/2006
Last updated
08/06/2020
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