Individual
ANGELA PANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
13380 W TREPANIA RD, HAYWARD, WI 54843-2186
(715) 634-5100
(715) 634-2740
Mailing address
13380 W TREPANIA RD, HAYWARD, WI 54843-2186
(715) 638-5100
(715) 634-2740
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
9685
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
9685
WI
Other
Enumeration date
10/17/2019
Last updated
03/05/2024
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