Individual
MS. ANGELA LYTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1 PROFESSIONAL DR, ALTON, IL 62002-5068
(618) 463-8500
(618) 463-8537
Mailing address
6810 STATE ROUTE 162 BOX 215, MARYVILLE, IL 62062-8501
(618) 391-6405
(618) 288-4088
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209015110
IL
363LF0000X
Family Nurse Practitioner
Primary
209015110
IL
Other
Enumeration date
11/07/2016
Last updated
04/17/2020
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