Doctor Name: | ANGIE ALBERT |
NPI Number: | 1245624402 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PMHNP-BC |
License Number: | 11792 |
Business Practice Address: | 120 Park Ave Hebron, NE - 683702019 |
Business Phone Number: | 4027687208 |
Business Fax Number: | |
Mailing Address: | 120 Park Ave, HEBRON |
State: | NE |
Postal Code: | 683702019 |
Phone Number: | 4027687208 |
Fax Number: | |
NPI Enumeration Date: | 03/26/2015 |
NPI Last Update Date: | 03/18/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | 11792 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |