Angelic Anderson, CHW
Individual provider Active NPI Community Health Worker · Standish, MI
NPI 1326818352 · NPPES record last updated Jan 2, 2024
Key facts
- NPI
- 1326818352
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 4489 M 61
Standish, MI 48658 - Phone
- (989) 846-6541
- Fax
- (989) 846-0431
- NPI assigned
- Jan 2, 2024
- Sex
- Female
- Sole proprietor
- Yes
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Yes |
Addresses
Primary practice location
4489 M 61
Standish, MI 48658
Mailing address
4489 M 61
Standish, MI 48658
Phone (989) 846-6541
Other providers in Standish, MI
- Aim Behavioral Solutions, LLC
- Aledade TK Mi, P.C.
- Elizabeth Lynn Anderson
- Camara Angstman
- Arenac Opportunities, Inc.
- Lori Arquette
- Balanced Medical Supply Inc.
All providers in Standish, MI · Community Health Worker in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 2, 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.