Individual
ANGELA SUE BIRDSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
2406 E EMPIRE ST, BLOOMINGTON, IL 61704-3630
(309) 662-4321
(309) 663-8032
Mailing address
102 S MARY ST, ATLANTA, IL 61723-8993
(217) 737-1694
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209016781
IL
Other
Enumeration date
11/21/2017
Last updated
11/21/2017
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