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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ANGELA M NORTHCUTT, PA-C

Active

ANGELA M NORTHCUTT, PA-C is a Surgical Physician Assistant healthcare provider located in BLOOMINGTON, Indiana. NPI 1740287119 is currently active in the NPPES registry. Verify at CMS.

Surgical Physician Assistant · BLOOMINGTON, IN

Registration Details

NPI Number
1740287119
Provider Type
Individual
Gender
Female
NPI Issued
Jun 30, 2005 (21.105954695666 yrs)
Last Updated
Jan 11, 2023
Licenses
9948 (MN)
1612-023 (WV)
PA04880 (TX)
10003396A (IN)

Practice Information

Address
123 S FRANKLIN RD
BLOOMINGTON, IN, 474045296
Browse IN providers · Browse ZIP 47404
Phone
8127783116
Fax
8127783117
Primary Specialty
Surgical Physician Assistant
363AS0400X
Additional Specialty
Surgical Physician Assistant
Additional Specialty
Surgical Physician Assistant
Additional Specialty
Surgical Physician Assistant

Other Surgical Physician Assistant Providers in BLOOMINGTON, IN

Name Credential NPI
TODD NISLEY P.A. 1245296508
LAUREEN S KNUTESON PA-C 1326096124
PERINJIT K NIEHAUS PA-C 1093170557
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.