Individual
ANGELA KAY POE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8677 IMPACT CT, INDIANAPOLIS, IN 46219-1424
(317) 895-7173
Mailing address
8731 BLUE MARLIN DR, INDIANAPOLIS, IN 46239-7987
(317) 414-4173
Taxonomy
Speciality
Code
Description
License number
State
163WX0106X
Occupational Health Registered Nurse
Primary
28102034A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8677
CONCENTRA
IN
Enumeration date
03/04/2022
Last updated
03/04/2022
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