Individual provider · Type 1 NPI

Leslie Angel

Nurse Practitioner · Kendallville, IN

NPI number 1962063685 Active

Practice location

512 Professional Way
Kendallville, IN 46755-2927

Fax (260) 347-8557

Mailing address

11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X71009252A (IN)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1962063685

Leslie Angel's National Provider Identifier is 1962063685, issued on Jun 24, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Kendallville, IN. The record was last updated on Oct 12, 2022.