Individual provider · Type 1 NPI
Angela Rose Depa
Family Nurse Practitioner · Long Grove, IL
NPI number
1194291237
Active
Practice location
3880 Salem Lake Dr Ste F
Long Grove, IL 60047-5292
Fax (847) 719-2265
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 209018117 (IL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1194291237
Angela Rose Depa's National Provider Identifier is 1194291237, issued on Oct 16, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Long Grove, IL. The record was last updated on Dec 20, 2021.