Individual
ANGELA R MENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
611 W MAIN ST, FREDERICKTOWN, MO 63645
(573) 783-4111
(573) 783-1065
Mailing address
611 W MAIN ST, FREDERICKTOWN, MO 63645-1111
(573) 783-4111
(573) 783-1065
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
147218
MO
Other
Enumeration date
08/18/2006
Last updated
10/19/2018
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