Individual
ANGELA BETH HOMUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDE
Contact information
Practice address
2101 ELM ST N, FARGO, ND 58102-2417
(701) 232-3241
(701) 237-2573
Mailing address
2101 ELM ST N, FARGO, ND 58102-2417
(701) 232-3241
(701) 237-2573
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
R25394
ND
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
R25394
ND
Other
Enumeration date
07/18/2006
Last updated
11/05/2024
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