Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DIETRA LEIGH ANGELLY, FNP-C
Active Sole ProprietorDIETRA LEIGH ANGELLY, FNP-C is a Nurse Practitioner healthcare provider located in MARION, Illinois. NPI 1902371313 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · MARION, IL
Registration Details
- NPI Number
- 1902371313
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 11, 2018 (7.8005133998059 yrs)
- Last Updated
- Apr 8, 2024
- Licenses
-
209018044 (IL)209018044 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3411 PROFESSIONAL PARK DRMARION, IL, 629596394Browse IL providers · Browse ZIP 62959
- Phone
- 6189698630
- Fax
- 6189931421
- Primary Specialty
-
Nurse Practitioner
363L00000X
- Additional Specialty
- Nurse Practitioner
Other Nurse Practitioner Providers in MARION, IL
| Name | Credential | NPI |
|---|---|---|
| MRS. ELIZABETH HOPE EVERSMANN | FNP-C | 1528051182 |
| PATTI L MARTIN | NP | 1699723254 |
| MRS. CAROLYN MAE OSBORN | NP | 1386734648 |
| MISS KATHY AMANDA LONG | ARNP-BC | 1407929870 |
| MS. PEGGY BOYD | NP | 1053531541 |
| MS. SUSAN MARIE ELEY | PH.D., FNP-BC | 1285871202 |
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.