Individual
ANGELA BLAKE BANDRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
495 S GLOSTER ST STE 201, TUPELO, MS 38801-5539
(662) 401-9996
(662) 214-6050
Mailing address
495 S GLOSTER ST STE 201, TUPELO, MS 38801-5539
(662) 401-9996
(662) 214-6050
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R879736
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03228399
—
MS
Enumeration date
04/16/2014
Last updated
06/30/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us