Individual provider · Type 1 NPI

Angela M. Longeville, NP

Family Nurse Practitioner · Peru, IL

NPI number 1548735988 Active

Practice location

925 West St
Peru, IL 61354-2757

Fax (815) 223-3394

Mailing address

200 Corporate Blvd
Lafayette, LA 70508-3870

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X209018462 (IL)

Family Nurse Practitioner: Definition to come...

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About NPI 1548735988

Angela M. Longeville, NP's National Provider Identifier is 1548735988, issued on Oct 12, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Peru, IL. The record was last updated on Dec 5, 2019.