Individual provider · Type 1 NPI
Angela Sue Peters, NURSE PRACTITIONER A
Psychiatric/Mental Health Nurse Practitioner · Antioch, IL
NPI number
1407132897
Active
Practice location
642 Indian Ridge Dr
Antioch, IL 60002
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 209-009096 (IL) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 277.000596 (IL) |
| Adult Health Nurse Practitioner | 363LA2200X | 4674-33 (WI) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Another provider at this address
Other psychiatric/mental health nurse practitioner providers in Antioch
About NPI 1407132897
Angela Sue Peters, NURSE PRACTITIONER A's National Provider Identifier is 1407132897, issued on Oct 29, 2011. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Antioch, IL. The record was last updated on Aug 11, 2022.