Doctor Name: | KIMBERLY J ANGUS |
NPI Number: | 1134184211 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-BC |
License Number: | 32906 |
Business Practice Address: | 10003 Webster Road Camden On Gauley, WV - 262080069 |
Business Phone Number: | 3042265725 |
Business Fax Number: | 3042263274 |
Mailing Address: | 10003 Webster Road, Camden On Gauley Medical Center Inc CAMDEN ON GAULEY |
State: | WV |
Postal Code: | 262080069 |
Phone Number: | 3042265725 |
Fax Number: | 3042263274 |
NPI Enumeration Date: | 04/20/2006 |
NPI Last Update Date: | 10/14/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP2300X |
License Number: | 32906 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WV |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |