Angela Reed, NP
Individual provider Active NPI Pediatric Nurse Practitioner · Bangor, MI
NPI 1871533166 · NPPES record last updated Jan 23, 2012
Key facts
- NPI
- 1871533166
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Nurse Practitioner 363LP0200X
- License
- 4704182710 (MI)
- Practice address
- 803 W Arlington St
Bangor Health Center
Bangor, MI 49013-1108 - Phone
- (269) 427-6810
- Fax
- (269) 427-6811
- NPI assigned
- Jun 7, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeshore Allergy PC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 4704182710 | MI | Yes |
Addresses
Primary practice location
803 W Arlington St
Bangor Health Center
Bangor, MI 49013-1108
Mailing address
803 W Arlington St
Bangor Health Center
Bangor, MI 49013-1108
Phone (269) 427-6810
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4826733 | Medicaid | MI |
Other names
- Angela Bono
Other providers in Bangor, MI
- David Perez
- Emily Katherine Pickney
- Alexis M Pierson
- Katherine M Radakovich
- Judith Ramsey
- Karen Lee Replogle
- Nathan Bryan Roberts
- Debra Jean Rose
- Bryan Safranski
- Shirley E Sanders
All providers in Bangor, MI · Pediatric Nurse Practitioner 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 23, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.