Individual
MS. ANGELA L CHAMBERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-0001
(860) 523-6421
(860) 523-3701
Mailing address
65 KANE ST, PROVIDER ENROLLMENT, WEST HARTFORD, CT 06119-2110
(860) 523-6421
(860) 523-3701
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
002302
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004214706
—
CT
Enumeration date
09/14/2006
Last updated
04/15/2010
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