Individual
MS. ANGELA KATHERINE SEVERADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC AND PMHNP-BC
Contact information
Practice address
1 JEFFERSON BARRACKS RD, SAINT LOUIS, MO 63125-4181
(314) 652-4100
Mailing address
1660 SHADOW RIDGE CT APT 10, BELLEVILLE, IL 62221-3905
(217) 816-7928
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
277.001329
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
309.008660
—
IL
Enumeration date
08/07/2015
Last updated
05/06/2024
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