| NPI | 1053834705 |
|---|---|
| Former Name | ANGELA RENEE AMICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 21171) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: SC 21171) |
| Enumeration Date | 2017-07-24 |
| Last Update Date | 2024-10-24 |