Angela Sue Foss

Individual provider Active NPI Chore Provider · Broken Bow, NE

NPI 1295547883 · NPPES record last updated Jan 22, 2025

Key facts

NPI
1295547883
Entity type
Individual (NPI type 1)
Primary specialty
Chore Provider 372500000X
Practice address
720 N 11TH Ave
Broken Bow, NE 68822-1231
Phone
(308) 440-5103
NPI assigned
Jan 22, 2025
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chore Provider 372500000X NE Yes

Addresses

Primary practice location

720 N 11TH Ave
Broken Bow, NE 68822-1231

Mailing address

720 N 11TH Ave
Broken Bow, NE 68822-1231
Phone (308) 440-5103

Other providers in Broken Bow, NE

All providers in Broken Bow, NE · Chore Provider in Nebraska

Sources for this page

Verify at the official NPI Registry.