Angela Lynn Berrey, FNP
Nurse Practitioner, Family in Boonvlillle, MO. Individual provider (NPI-1).
NPI number1144827262
StatusActive
Last updated in NPPESOct 1, 2020
Details
- NPI
- 1144827262
- Entity type
- Individual (NPI-1)
- Name
- Angela Lynn Berrey
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 1, 2020
- Certification date
- Sep 28, 2020
- Last updated
- Oct 1, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 2020026935 | MO | Yes |
Practice location
Corizon1216 E Morgan St
Boonvlillle, MO 65233-6523
Phone 660-882-6521
Mailing address
4705 S Highway 3Huntsville, MO 65259-2640
Phone 660-651-0587
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