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Individual

ANGELA KAYE ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
302 W PHILLIP AVE, NORFOLK, NE 68701-5248
(402) 371-8000
(402) 371-0971
Mailing address
1182 260TH ST, SERGEANT BLUFF, IA 51054-7739
(712) 317-1130
(712) 317-1140

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
112322
NE
363LF0000X
Family Nurse Practitioner
Primary
A161589
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
XXXX40301
NE
Enumeration date
08/24/2017
Last updated
10/13/2021
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