MEDICARE: ANGELA MARIE ANDERSON RN

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	163WA2000X	Administrator Registered Nurse	4704173938	MI

General Provider Information

NPI Number	:	1962347047
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELA MARIE ANDERSON RN

Provider Business Mailing Address
First Line	:	839 SARGENT AVE SE
Second Line	:
City	:	ADA
State	:	MI
Zip	:	49301-9041
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	839 SARGENT AVE SE
Second Line	:
City	:	ADA
State	:	MI
Zip	:	49301-9041
Country	:	US
Telephone Number	:	832-814-2867
Fax Number	:

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

Provider Enumeration Date	:	04/23/2026
Last Update Date	:	04/23/2026

Similar Medicare Providers

1447193701 — JULIA RANDLE
Practice Location Address:

4690 FULTON ST E STE 102
ADA, MI
49301-8454

Practice Phone: 616-425-7701
Practice Fax:

1689678401 — DR. LAWRENCE G. FOE MD
Practice Location Address:

7128 FULTON ST E
ADA, MI
49301-8413

Practice Phone: 616-825-3530
Practice Fax:

1841294477 — STEPHEN JOHN MACEDO MD
Practice Location Address:

7128 FULTON ST E
ADA, MI
49301-8413

Practice Phone: 616-825-3530
Practice Fax:

1124022660 — ROBERT CHARLES MACKINDER MD
Practice Location Address:

7128 FULTON ST E
ADA, MI
49301-8413

Practice Phone: 616-825-3530
Practice Fax:

1205822756 — MICHAEL FOSSEL MD
Practice Location Address:

9464 CONSERVATION ST NE
ADA, MI
49301-9752

Practice Phone: 616-676-8779
Practice Fax:

1821088220 — MELINDA E JOHNSON MD
Practice Location Address:

5039 MOUNTAIN RIDGE DR NE
ADA, MI
49301-9557

Practice Phone: 616-581-3015
Practice Fax:

Directions to “ ANGELA MARIE ANDERSON RN” 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.