Healthcare Provider Details

I. General information

NPI: 1346477007
Provider Name (Legal Business Name): DR. ANGELA VANGILDER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/19/2009
Last Update Date: 03/02/2026
Certification Date: 03/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 11TH ST
CHARLES CITY IA
50616-3468
US

IV. Provider business mailing address

800 11TH ST
CHARLES CITY IA
50616-3468
US

V. Phone/Fax

Practice location:
  • Phone: 641-257-4357
  • Fax:
Mailing address:
  • Phone: 641-257-4357
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number05012
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: