Healthcare Provider Details

I. General information

NPI: 1376455220
Provider Name (Legal Business Name): ANGELA BUNGE LINDER APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 W BUSINESS LOOP 70
COLUMBIA MO
65203-3248
US

IV. Provider business mailing address

315 W BUSINESS LOOP 70
COLUMBIA MO
65203-3248
US

V. Phone/Fax

Practice location:
  • Phone: 573-884-0033
  • Fax: 573-884-0055
Mailing address:
  • Phone: 573-884-0033
  • Fax: 573-884-0055

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2026044308
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: