Individual
ANGELA JO TOWNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
46 FAIRVIEW AVE, SKOWHEGAN, ME 04976-1481
(207) 474-5121
Mailing address
1641 BOULDER ST, RAPID CITY, SD 57702-3112
(712) 260-1811
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
CNP231510
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0254656 MEDICAID GRO
—
IA
05
—
0638593 MEDIPASS
—
IA
Enumeration date
09/19/2007
Last updated
09/27/2023
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