Individual
MRS. ANGELA MARIE SCALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, NP-C
Contact information
Practice address
407 N MEADOW ST, OTTERBEIN, IN 47970-8592
(765) 448-8000
Mailing address
1200 W WHITE RIVER BLVD, MUNCIE, IN 47303-4988
(877) 668-5621
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
281511082A
IN
363LF0000X
Family Nurse Practitioner
Primary
71004633A
IN
363LF0000X
Family Nurse Practitioner
F0813296
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000851811
ANTHEM PROVIDER NUMBER
IN
05
—
201202170
—
IN
Enumeration date
08/26/2013
Last updated
02/24/2021
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