Doctor Name: | ANGELA FRANCINE DOUGAN |
NPI Number: | 1013021724 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APN |
License Number: | A01543 |
Business Practice Address: | 2200 Fort Roots Dr North Little Rock, AR - 721141709 |
Business Phone Number: | 5012572730 |
Business Fax Number: | |
Mailing Address: | P.o. Box 34, SCOTT |
State: | AR |
Postal Code: | 72142 |
Phone Number: | 5012572730 |
Fax Number: | |
NPI Enumeration Date: | 08/18/2006 |
NPI Last Update Date: | 03/29/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LG0600X |
License Number: | A01543 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Gerontology |
Taxonomy Definition: |