Individual
MRS. ANGELA T PRICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3251 N WINDSONG DR, PRESCOTT VALLEY, AZ 86314
(928) 772-2582
(928) 772-2383
Mailing address
PO BOX 26568, PRESCOTT VALLEY, AZ 86312-6568
(928) 778-1251
(928) 778-7834
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP11172
AZ
363LF0000X
Family Nurse Practitioner
21026
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP11172
ARIZONA LICENSE
AZ
01
—
MSL165925TN
MULTI-STATE LICENSE
TN
Enumeration date
04/07/2016
Last updated
10/27/2018
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