Individual
MELISSA ANITA ANGYUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
901 MACARTHUR BLVD, WOUND/OSTOMY CLINIC, MUNSTER, IN 46321-2901
(219) 836-1600
Mailing address
901 MACARTHUR BLVD, WOUND/OSTOMY CLINIC, MUNSTER, IN 46321-2901
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71003061A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71003061A
INDIANA HEALTH PROFESSIONS BUREAU
IN
Enumeration date
08/02/2010
Last updated
08/02/2010
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