MEDICARE: CHARLEEN ANGELL APRN-P

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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	2081234405	UT

General Provider Information

NPI Number	:	1942221486
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHARLEEN ANGELL APRN-P

Provider Business Mailing Address
First Line	:	500 FOOTHILL DR
Second Line	:	#16
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84148-0128
Country	:	US
Telephone Number	:	801-582-1565
Fax Number	:

Provider Business Practice Location Address
First Line	:	500 FOOTHILL DR
Second Line	:	#16
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84148-0128
Country	:	US
Telephone Number	:	801-582-1565
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/21/2006
Last Update Date	:	12/19/2013

Similar Medicare Providers

1760517957 — MR. LAWRENCE ALBERT SMITH, JR RPH
Practice Location Address:

LUMBER CITY DRUGS, INC , HWY 341 SOUTH
LUMBER CITY, GA
31549-0128

Practice Phone: 912-363-4979
Practice Fax: 912-363-8453

1750794376 — YVETTE GUZMAN ARNP
Practice Location Address:

4912 W TRAPNELL RD
PLANT CITY, FL
33566-0128

Practice Phone: 813-417-4767
Practice Fax:

1124612817 — OLIVE HEALTH LLC
Practice Location Address:

4912 W TRAPNELL RD
PLANT CITY, FL
33566-0128

Practice Phone: 813-417-4767
Practice Fax:

1689382780 — LAUREL POWERS LCSW
Practice Location Address:

4912 W TRAPNELL RD
PLANT CITY, FL
33566-0128

Practice Phone: 813-887-1927
Practice Fax: 813-887-1950

1609766567 — NJIDEKA OBIAGELI NNADOZIE APRN
Practice Location Address:

4912 W TRAPNELL RD
PLANT CITY, FL
33566-0128

Practice Phone: 813-417-4767
Practice Fax:

1669599098 — SHAWNEE CUSD 84
Practice Location Address:

3365 IL HWY 3N
WOLF LAKE, IL
62998-0128

Practice Phone: 618-833-5709
Practice Fax: 618-833-4171

Directions to “ CHARLEEN ANGELL APRN-P” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.