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NPI Code Detail

MEDICARE: MS. ANGEL L RECTOR APRN,BC

MEDICARE: MS. ANGEL L RECTOR APRN,BC
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
1363LA2200XAdult Health Nurse Practitioner209006288IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1952512956
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ANGEL L RECTOR APRN,BC
Provider Business Mailing Address
First Line : 209 NW 11TH ST
Second Line :
City : FAIRFIELD
State : IL
Zip : 62837-1218
Country : US
Telephone Number : 618-842-4470
Fax Number : 618-842-3437
Provider Business Practice Location Address
First Line : 209 NW 11TH ST
Second Line :
City : FAIRFIELD
State : IL
Zip : 62837-1218
Country : US
Telephone Number : 618-842-4470
Fax Number : 618-842-3437
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2007
Last Update Date : 10/16/2025

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