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NPI Code Detail

MEDICARE: ANGELA RENEE PROPHET

MEDICARE:   ANGELA RENEE PROPHET
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered Dietitian832735OH
2133V00000XRegistered Dietitian5186AL
3133V00000XRegistered Dietitian2356AR
4133V00000XRegistered Dietitian2457KS
5133V00000XRegistered Dietitian283032KY
6133V00000XRegistered Dietitian5931MD
7133V00000XRegistered Dietitian2019016829MO
8133V00000XRegistered Dietitian40478NV
9133V00000XRegistered Dietitian13187224-4901UT
10133V00000XRegistered Dietitian1401NH
11133V00000XRegistered Dietitian01253RI
12133V00000XRegistered Dietitian4023OH
13133V00000XRegistered Dietitian11796FL

General Provider Information

NPI Number : 1265137038
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA RENEE PROPHET
Provider Business Mailing Address
First Line : 9271 E GRAND LAKE RD
Second Line :
City : PRESQUE ISLE
State : MI
Zip : 49777-8628
Country : US
Telephone Number : 740-297-0488
Fax Number :
Provider Business Practice Location Address
First Line : 9271 E GRAND LAKE RD
Second Line :
City : PRESQUE ISLE
State : MI
Zip : 49777-8628
Country : US
Telephone Number : 740-297-0488
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2023
Last Update Date : 04/03/2023

Similar Medicare Providers

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Practice Location Address:
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1457124422 — ANDREA KRISTEN ARNOLDI
Practice Location Address:
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1518733062 — PRESQUE ISLE TOWNSHIP
Practice Location Address:
24335 US 23 S
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Practice Fax:
1194585463 — MISTY GAIL RAHN
Practice Location Address:
19577 EVERGREEN RD
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49777-8699
Practice Phone: 989-464-9394
Practice Fax:

Directions to “ ANGELA RENEE PROPHET ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.