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NPI Code Detail

MEDICARE: MRS. ANGEL D ATKINS CNM, WHNP, APN

MEDICARE:  MRS. ANGEL D ATKINS  CNM, WHNP, APN
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
1367A00000XAdvanced Practice Midwife209005714IL
2363LW0102XWomen's Health Nurse Practitioner277-001559IL

General Provider Information

NPI Number : 1225091986
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ANGEL D ATKINS CNM, WHNP, APN
Provider Business Mailing Address
First Line : 26962 DON ST
Second Line :
City : HOPEDALE
State : IL
Zip : 61747-9624
Country : US
Telephone Number : 309-370-1025
Fax Number : 309-266-5340
Provider Business Practice Location Address
First Line : 2805 N KNOXVILLE AVE
Second Line :
City : PEORIA
State : IL
Zip : 61604-2869
Country : US
Telephone Number : 309-370-1025
Fax Number : 309-266-5340
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2006
Last Update Date : 11/16/2021

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