Pool, Angela Renee

Pool, Angela Renee is an individual health care provider with primary practice located at 4415 Us Highway 331 S , Defuniak Springs FL 32435-6307. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Pool, Angela Renee can be contacted via phone (850) 951-4556.

Contact Information

Primary practice address
4415 Us Highway 331 S Defuniak Springs FL 32435-6307
Phone: (850) 951-4556
Fax: (850) 951-4527
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN11012186 Florida
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X R0072345 Oklahoma

Profile Details

NPI number 1447338603
LBN Legal business name Pool, Angela Renee
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2006
Last updated Mar 21st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447338603 NPPES
Oklahoma MEDICAID 200100690A
Oklahoma MEDICAID 200804758
Oklahoma MEDICAID 1447338603
Oklahoma Other 248704113
Oklahoma Other 5100141

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