Theresa Angle, is a
Licensed Practical Nurse based in Benton, Kentucky. Theresa Angle is licensed to practice in Kentucky (license number 2024331) and her current practice location is
267 Slickback Rd, Benton, Kentucky. She can be reached at her office (for appointments etc.) via phone at
(270) 527-1496.
NPI number for Theresa Angle is 1326593666 and her current mailing address is 267 Slickback Rd, Benton, Kentucky. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1326593666.
Provider's Profile
Full Name | Theresa Angle |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 267 Slickback Rd, Benton, Kentucky |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1326593666
- Provider Enumeration Date: 08/16/2016
- Last Update Date: 08/16/2016
Medical Identifiers
Medical identifiers for Theresa Angle such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1326593666 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 2024331 (Kentucky) | Primary |
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. Theresa Angle 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 |
Theresa Angle, 267 Slickback Rd, Benton, KY 42025-7629 Ph: (270) 527-1496 | Theresa Angle, 267 Slickback Rd, Benton, KY 42025-7629 Ph: (270) 527-1496 |
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