Individual provider · Type 1 NPI
Angela M. Northcutt, PA-C
Surgical Physician Assistant · Bloomington, IN
NPI number
1740287119
Active
Practice location
123 S Franklin Rd
Bloomington, IN 47404-5296
Fax (812) 778-3117
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 9948 (MN) |
| Surgical Physician Assistant | 363AS0400X | 1612-023 (WV) |
| Surgical Physician Assistant | 363AS0400X | PA04880 (TX) |
| Surgical Physician Assistant Primary | 363AS0400X | 10003396A (IN) |
Surgical Physician Assistant: Definition to come...
2 other providers at this address
Other surgical physician assistant providers in Bloomington
About NPI 1740287119
Angela M. Northcutt, PA-C's National Provider Identifier is 1740287119, issued on Jun 30, 2005. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Bloomington, IN. The record was last updated on Jan 11, 2023.