Individual
ANGELA WARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
720 KENYON RD, FORT DODGE, IA 50501-5759
(515) 955-7171
(515) 573-7898
Mailing address
720 KENYON RD, FORT DODGE, IA 50501-5759
(515) 955-7171
(515) 573-7898
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
123105
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0159608
—
IA
Enumeration date
06/06/2014
Last updated
06/06/2014
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