Individual
MRS. ANGELA JANE CROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2525 W UNIVERSITY AVE, SUITE 300, MUNCIE, IN 47303-3400
(765) 281-2000
(765) 281-2062
Mailing address
1200 W WHITE RIVER BLVD STE 300, MUNCIE, IN 47303-4988
(877) 668-5621
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71003561A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201012750
—
IN
01
—
P00954938
RR MEDICARE
IN
Enumeration date
03/09/2011
Last updated
03/04/2021
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