Individual
FRANK R ANGELO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNFA
Contact information
Practice address
2321 CORONADO ST, IDAHO FALLS, ID 83404-7407
(208) 227-1100
(208) 227-1087
Mailing address
2321 CORONADO ST, IDAHO FALLS, ID 83404-7407
(208) 227-1100
(208) 227-1087
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
N18709
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N18709
NURSING LISCENSE NUMBER
ID
Enumeration date
01/09/2007
Last updated
07/08/2007
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