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Angela M Northcutt, PA-C
Surgical Physician Assistant in Bloomington, Indiana
NPI 1740287119

Angela M Northcutt is a Surgical Physician Assistant based in Bloomington, IN and is specialized in Surgical. Angela M Northcutt practices in Bloomington, IN and has the professional credentials of PA-C. The NPI Number for Angela M Northcutt is 1740287119 and holds a License No. 9948 (Indiana).

The current practice location address for Angela M Northcutt is 123 S Franklin Rd, Bloomington, IN and can be reached out via phone at 812-778-3116 and via fax at 812-778-3117. You can also correspond with Angela M Northcutt through the mailing address at 123 S FRANKLIN RD, BLOOMINGTON, IN - 47404-5296 (mailing address contact number: 812-778-3116).

Location: 123 S Franklin Rd, Bloomington, IN, 47404-5296
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Provider Profile Details
NPI Number
1740287119
Provider Name
Angela M Northcutt
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
123 S Franklin Rd, Bloomington, IN, 47404-5296
Phone Number
812-778-3116
Fax Number
812-778-3117
Provider Enumeration Date
06/30/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8N9563 01 TX BLUE CROSS BLUE SHIELD OF
42865500 05 WI
559168600 05 MN
institution
Provider Business Practice Location Address Details
Address
123 S Franklin Rd
City
State
Zip
47404-5296
Phone Number
812-778-3116
Fax Number
812-778-3117
person
Provider Business Mailing Address Details
Address
123 S Franklin Rd
City
State
Zip
47404-5296
Phone Number
812-778-3116
Fax Number
812-778-3117
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
9948 (Minnesota)
Definition
Definition to come...
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