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Angela S Declue, FNP
Family Nurse Practitioner in Potosi, Missouri
NPI 1659343903

Angela S Declue is a Family Nurse Practitioner based in Potosi, MO and is specialized in Family. Angela S Declue practices in Potosi, MO and has the professional credentials of FNP. The NPI Number for Angela S Declue is 1659343903 and holds a License No. 132460 (Missouri).

The current practice location address for Angela S Declue is 200 Health Way Dr, Potosi, MO and can be reached out via phone at 573-438-2977 and via fax at 573-438-2874.

Location: 200 Health Way Dr, Potosi, MO, 63664-1434
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659343903
Provider Name
Angela S Declue
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
200 Health Way Dr, Potosi, MO, 63664-1434
Phone Number
573-438-2977
Fax Number
573-438-2874
Provider Enumeration Date
02/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
428971402 05 MO
institution
Provider Business Practice Location Address Details
Address
200 Health Way Dr
City
Potosi
State
Missouri
Zip
63664-1434
Phone Number
573-438-2977
Fax Number
573-438-2874
person
Provider Business Mailing Address Details
Address
200 Health Way Dr
City
Potosi
State
Missouri
Zip
63664-1434
Phone Number
573-438-2977
Fax Number
573-438-2874
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
132460 (Missouri)
Definition
Definition to come...
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