Angela Maria Blose, RN
Individual provider Active NPI Child & Adolescent Psychiatric/Mental Health Registered Nurse · Mustang, OK
NPI 1013756709 · NPPES record last updated May 22, 2024
Key facts
- NPI
- 1013756709
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Child & Adolescent Psychiatric/Mental Health Registered Nurse 163WP0807X
- License
- R0134588 (OK)
- Practice address
- 932 W State Highway 152
Mustang, OK 73064-2301 - Phone
- (405) 577-5477
- NPI assigned
- May 22, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R0134588 | OK | MD | Child & Adolescent Psychiatric/Mental Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bridges Behavioral Health LLC | Current |
Accepting new patients |
Locations
932 W State Highway 152
Mustang, OK 73064
Phone (405) 577-5477
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatric/Mental Health Registered Nurse | 163WP0807X | R0134588 | OK | Yes |
Addresses
Primary practice location
932 W State Highway 152
Mustang, OK 73064-2301
Mailing address
932 W State Highway 152
Mustang, OK 73064-2301
Other providers in Mustang, OK
- Sharon Louise Billing
- Rebecca G. Biorato
- Alyson Shea Blair
- Grace Blanco
- Kristin Blood
- Blue Marble Medical, LLC
- Kuukua Boateng
- Mariah Bolden
- Brycklynn Boyles
- Naomi Bradley
All providers in Mustang, OK · Child & Adolescent Psychiatric/Mental Health Registered Nurse in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 22, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.