Individual
ANGELINA PATTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
5155 S HILLSDALE AVE, MERIDIAN, ID 83642-7587
(208) 706-9710
Mailing address
5155 S HILLSDALE AVE, MERIDIAN, ID 83642-7587
(208) 539-8408
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
48646
ID
171400000X
Health & Wellness Coach
Primary
A-4066880
ID
Other
Enumeration date
06/11/2025
Last updated
06/11/2025
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