Individual
DIANE ANGELO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
800 HOSPITAL DR, COLUMBIA, MO 65201-5275
(573) 814-6460
Mailing address
800 HOSPITAL DR, COLUMBIA, MO 65201-5275
(573) 814-6460
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
055167
MO
363LF0000X
Family Nurse Practitioner
Primary
055167
MO
Other
Enumeration date
05/08/2006
Last updated
09/11/2025
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