Mrs Angela Sue Peters, NURSE PRACTITIONER A is a
Nurse Practitioner - Psychiatric/mental Health based in Antioch, Illinois. Mrs Angela Sue Peters is licensed to practice in Illinois (license number 277.000596) and her current practice location is
642 Indian Ridge Dr, Antioch, Illinois. She can be reached at her office (for appointments etc.) via phone at
(847) 961-2875.
NPI number for Mrs Angela Sue Peters is 1407132897 and her current mailing address is 642 Indian Ridge Dr, Antioch, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1407132897.
Provider's Profile
Full Name | Mrs Angela Sue Peters |
---|
Gender | Female |
---|
Speciality | Nurse Practitioner - Psychiatric/mental Health |
---|
Location | 642 Indian Ridge Dr, Antioch, Illinois |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1407132897
- Provider Enumeration Date: 10/29/2011
- Last Update Date: 08/11/2022
Medical Identifiers
Medical identifiers for Mrs Angela Sue Peters such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1407132897 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LA2200X | Nurse Practitioner - Adult Health | 209-009096 (Illinois) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 277.000596 (Illinois) | Primary |
363LA2200X | Nurse Practitioner - Adult Health | 4674-33 (Wisconsin) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Angela Sue Peters is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Angela Sue Peters, NURSE PRACTITIONER A 642 Indian Ridge Dr, Antioch, IL 60002-3102 Ph: (847) 961-2875 | Mrs Angela Sue Peters, NURSE PRACTITIONER A 642 Indian Ridge Dr, Antioch, IL 60002 Ph: (847) 961-2875 |
Reviews and Comments