| NPI | 1265935654 |
|---|---|
| Former Name | ANGELEA D MCCLUNG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71007857A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9488636) |
| Enumeration Date | 2018-03-13 |
| Last Update Date | 2024-03-18 |