Individual
MS. ANGELA DAWN HENNIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, PHN
Contact information
Practice address
14790 119TH ST N, STILLWATER, MN 55082-8906
(612) 270-0296
Mailing address
14790 119TH ST N, STILLWATER, MN 55082-8906
(612) 270-0296
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2544495
MN
Other
Enumeration date
01/27/2026
Last updated
01/27/2026
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