Individual provider · Type 1 NPI
Angela Jean Moothart, RN
Diabetes Educator Registered Nurse · Detroit Lakes, MN
NPI number
1679410484
Active
Practice location
1027 Washington Ave
Detroit Lakes, MN 56501-3409
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diabetes Educator Registered Nurse Primary | 163WD0400X | 1603668 (MN) |
Diabetes Educator Registered Nurse: Definition to come...
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About NPI 1679410484
Angela Jean Moothart, RN's National Provider Identifier is 1679410484, issued on Apr 30, 2026. The primary taxonomy on file is Diabetes Educator Registered Nurse (163WD0400X), and the practice location is in Detroit Lakes, MN. The record was last updated on Apr 30, 2026.