Irina Angelo, RN, BSN
Individual provider Active NPI Registered Nurse · Wichita, KS
NPI 1558778530 · NPPES record last updated Jul 22, 2014
Key facts
- NPI
- 1558778530
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 110285 (KS)
- Practice address
- 434 N Oliver Ave
Wichita, KS 67208-4000 - Phone
- (316) 660-7788
- NPI assigned
- Jul 22, 2014
- 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
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110285 | KS | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 110285 | KS | Yes |
Addresses
Primary practice location
434 N Oliver Ave
Wichita, KS 67208-4000
Mailing address
635 N Main St
Wichita, KS 67203-3602
Phone (316) 660-7600
Other names
- Irina Bedard
Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 22, 2014. 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.