Individual
MRS. ANGELA M WILLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2605 KENTUCKY AVE, SUITE 202, PADUCAH, KY 42003-3800
(270) 415-4690
(270) 415-4691
Mailing address
2605 KENTUCKY AVE, SUITE 306, PADUCAH, KY 42003-3800
(270) 415-7653
(270) 575-8359
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3004243
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78012325
—
KY
Enumeration date
12/30/2005
Last updated
12/16/2020
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