Individual provider · Type 1 NPI

Angela C. Clercx, NP-C

Family Nurse Practitioner · O Fallon, MO

NPI number 1477910461 Active

Practice location

20 Progress Point Pkwy, Ste 108
O Fallon, MO 63368-2206

Fax (636) 344-2401

Mailing address

670 Mason Ridge Center Dr, Ste 300
St. Louis, MO 63141-8573

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X2016000452 (MO)
Registered Nurse 163W00000X2000160140 (MO)

Family Nurse Practitioner: Definition to come...

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About NPI 1477910461

Angela C. Clercx, NP-C's National Provider Identifier is 1477910461, issued on Jan 21, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in O Fallon, MO. The record was last updated on Feb 12, 2021.