Healthcare Provider Details

I. General information

NPI: 1619962040
Provider Name (Legal Business Name): ANGELA C COMPTON MSN, RNC, CS-FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/12/2005
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20855 OMAHA AVE
PARKER CO
80138-3100
US

IV. Provider business mailing address

20855 OMAHA AVE
PARKER CO
80138-3100
US

V. Phone/Fax

Practice location:
  • Phone: 573-579-6993
  • Fax:
Mailing address:
  • Phone: 573-579-6993
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number134858
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: