Individual provider · NPI-1
Diane Angelo, N.P.
Nurse Practitioner, Family · Columbia, MO
NPI number1619926730
StatusActive
Last updated in NPPESJul 13, 2026
Details
- NPI
- 1619926730
- Entity type
- Individual (NPI-1)
- Name
- Diane Angelo
- Credential
- N.P.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 8, 2006
- Last updated
- Jul 13, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 055167 | MO | Yes |
| 363LA2200X | Nurse Practitioner, Adult Health | 055167 | MO |
Practice location
800 Hospital DrColumbia, MO 65201-5275
Phone 573-814-6460
Mailing address
800 Hospital DrColumbia, MO 65201-5275
Phone 573-814-6460
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