Healthcare Provider Details

I. General information

NPI: 1457793531
Provider Name (Legal Business Name): ANGELA L BEYERL FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2013
Last Update Date: 07/13/2022
Certification Date: 07/13/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 BECKER AVE SW
WILLMAR MN
56201-3302
US

IV. Provider business mailing address

301 BECKER AVE SW
WILLMAR MN
56201-3302
US

V. Phone/Fax

Practice location:
  • Phone: 320-231-4599
  • Fax: 320-231-4092
Mailing address:
  • Phone: 320-231-4599
  • Fax: 320-231-4092

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR1653647
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: