| Doctor Name: | ANGELI B DURM |
| NPI Number: | 1043652738 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | AGPCNP-BC |
| License Number: | APN0000017640 |
| Business Practice Address: | 228 W 4th St Suite 301 Cookeville, TN - 385012488 |
| Business Phone Number: | 9317834269 |
| Business Fax Number: | 9313720401 |
| Mailing Address: | 127 N Oak Ave, Suite D COOKEVILLE |
| State: | TN |
| Postal Code: | 385012435 |
| Phone Number: | 9317835857 |
| Fax Number: | 9315266760 |
| NPI Enumeration Date: | 07/23/2013 |
| NPI Last Update Date: | 07/23/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | APN0000017640 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |