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Contact Information

ANGELA R MENZ, NP-C
611 W MAIN ST
FREDERICKTOWN, MO63645
 Phone: 573-783-4111
 Fax: 573-783-1065
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for ANGELA R MENZ · (Female)

NPI Number 1619081593
Status Active
Credentials NP-C (Nurse Practitioner - Certified)
Entity Individual
Enumeration date 08/18/2006
Last updated 10/19/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 147218
Hospital affiliation(s)
  • JEFFERSON REGIONAL MEDICAL CENTER - (Acute Care)
    1400 HIGHWAY 61 SOUTH
    CRYSTAL CITY, MO 63019
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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