Individual
MRS. ANGELA B NEELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN MSN FNO-C
Contact information
Practice address
376 MAIN ST, CANKTON, LA 70584-5920
(337) 668-4141
(337) 668-4386
Mailing address
102 INDEPENDENCE BLVD, LAFAYETTE, LA 70506-6085
(337) 277-8345
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP04758
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1G6741
FAMILY PRACTICE
LA
Enumeration date
09/09/2005
Last updated
09/29/2020
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