Severado, Angela Katherine

Severado, Angela Katherine is an sole proprietor health care provider with primary practice located at 1 Jefferson Barracks Rd , Saint Louis MO 63125-4181. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Severado, Angela Katherine can be contacted via phone (314) 652-4100.

Contact Information

Primary practice address
1 Jefferson Barracks Rd Saint Louis MO 63125-4181
Phone: (314) 652-4100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 277.001329 Illinois

Profile Details

NPI number 1952787376
LBN Legal business name Severado, Angela Katherine
Credentials FNP-BC AND PMHNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 7th, 2015
Last updated May 6th, 2024 - about 2 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 1952787376 NPPES
Illinois MEDICAID 309.008660

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