Female

Angela R. Pool ARNP

Primary Care Nurse Practitioner in Defuniak Springs, FL(View on Map)

Full Name

Angela Renee Pool ARNP

NPI Number

1447338603

NPI Type

Individual Provider

Gender

Female

Enumeration Date

11/02/2006

Specialties

(Taxonomies)

Code

363LP2300X
363LF0000X

Primary Taxonomy

Yes
No

Licenses

State

Florida
Oklahoma

License Number

APRN11012186
R0072345

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 1100
4415 US HIGHWAY 331 S

City

West Plains
Defuniak Springs

State

MO
FL

Postal Code

65775-1100
32435-6307

Country

US
US

Telephone Number

(417) 256-9111
(850) 951-4556

Identifiers

Identifier

200100690A
200804758
1447338603
248704113
5100141

Identifier State

OK
AR
MO
OK
Unknown

Identifier Issuer

Unknown
Unknown
Unknown
MEDICARE ID
AETNA

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 03/21/2022

Provider Address

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