Individual
ANGELA K KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6901 W EDGERTON AVE, GREENFIELD, WI 53220-4420
(414) 325-5244
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
10643-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100161595
—
WI
Enumeration date
06/16/2015
Last updated
04/08/2024
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