Stombaugh, Angela Mae

Stombaugh, Angela Mae is an individual health care provider with primary practice located at 105 Garfield Ave , Eau Claire WI 54701-4811. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Stombaugh, Angela Mae can be contacted via phone (715) 836-5010.

Contact Information

Primary practice address
105 Garfield Ave Eau Claire WI 54701-4811
Phone: (715) 836-5010
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 20040001-22 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3394 Wisconsin

Profile Details

NPI number 1073630257
LBN Legal business name Stombaugh, Angela Mae
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2007
Last updated Mar 11th, 2013 - about 13 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 1073630257 NPPES
Wisconsin MEDICAID 36061300

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