Individual provider · NPI-1

Courtney Jean Angell, RN CNP

Nurse Practitioner, Family · Saint Cloud, MN

NPI number1255746665
StatusActive
Last updated in NPPESAug 9, 2023

Details

NPI
1255746665
Entity type
Individual (NPI-1)
Name
Courtney Jean Angell
Credential
RN CNP
Sex
Female
Sole proprietor
No
Enumeration date
Jun 24, 2014
Certification date
Aug 9, 2023
Last updated
Aug 9, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilyR182917-0MNYes

Practice location

1200 6th Ave N
Centracare Clinic
Saint Cloud, MN 56303-2735

Phone 320-240-2836

Mailing address

1200 6th Ave N
Centracare Clinic
Saint Cloud, MN 56303-2735

Phone 320-240-2836

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