Individual
CHARITY LEE ANGLE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN CNP
Contact information
Practice address
2800 CHICAGO AV S, SUITE 300, MINNEAPOLIS, MN 55407-1320
(612) 863-5390
(612) 863-2697
Mailing address
2800 CHICAGO AV S, SUITE 300, MINNEAPOLIS, MN 55407-1320
(612) 863-5390
(612) 863-2697
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
R0939197
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0702579
MEDICA
MN
01
—
1025748
PREFERRED ONE
MN
01
—
1195484
AMERICAS PPO
MN
01
—
64G42AN
BLUE CROSS
MN
01
—
HP32734
HEALTH PARTNERS
MN
Enumeration date
05/25/2006
Last updated
07/08/2007
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