ANGELA S DECLUE (NPI# 1659343903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659343903 |
| Entity Type | Individual |
| Full Name | ANGELA S DECLUE |
| Other Name | ANGELA S HUCK |
| Credential | FNP |
| Practice Address |
200 Health Way Dr Potosi MO 63664-1434 |
| Practice Telephone | 5734382977 |
| Practice Fax Number | 5734382874 |
| Mailing Telephone | 5734382977 |
| Mailing Fax Number | 5734382874 |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2014-06-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
132460 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 428971402 | 05 |
| Street Address |
200 HEALTH WAY DR |
| City | POTOSI |
| State | MO |
| Zip Code | 63664-1434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043281694 | Jeffrey Paul Tindall | Family Medicine | 200 Health Way Dr, Potosi, MO 63664-1434 | 2006-01-31 |
| 1912359852 | Sarah Michelle Trokey | Nurse Practitioner | 200 Health Way Dr, Potosi, MO 63664-1434 | 2016-07-03 |
| 1891149415 | Washington County Memorial Hospital | Clinic/Center | 200 Health Way Dr, Potosi, MO 63664-1434 | 2016-04-20 |
| 1225260532 | Deirdre L Nivens | Nurse Practitioner | 200 Health Way Dr, Potosi, MO 63664-1434 | 2009-08-20 |
| 1225199342 | Stephen Mckown Matthews | Dentist | 200 Health Way Dr, Suite 1, Potosi, MO 63664-1434 | 2006-12-12 |
| 1144238171 | Washington County Memorial Hospital | Family Medicine | 200 Health Way Dr, Potosi, MO 63664-1434 | 2006-08-04 |
| 1598737827 | Washington County Memorial Hospital | Nurse Practitioner | 200 Health Way Dr, Potosi, MO 63664-1434 | 2006-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083017461 | Carolyn Coyne Maryan | Specialist/Technologist | 400 Mine St., Citadel School, Potosi, MO 63664 | 2014-09-30 |
| 1205073665 | Potosi Chiropractic Life Center | Chiropractor | 502 North Missouri St., Potosi, MO 63664 | 2009-01-07 |
| 1932385952 | Simpelo Medical Clinic, P.C. | Internal Medicine | 108 Frizzell, Suite 6, Potosi, MO 63664 | 2008-01-22 |
| 1760696918 | Brett T Snodgrass | General Practice | 1 Southtowne Dr., Great Mines Health Center, Potosi, MO 63664 | 2007-05-09 |
| 1710032297 | Washington County Handicapped Services Adult Day Health Care | Day Training, Developmentally Disabled Services | 10604 West Highway E, Potosi, MO 63664 | 2007-01-24 |
| 1578629473 | Greenlee Chiropractic Inc. | Chiropractor | Greenlee Chiropractic, 417 East High St, Potosi, MO 63664 | 2006-12-28 |
| 1003981895 | James Daley Robart Jr. | Chiropractor | 912 N Missouri St, Potosi, MO 63664 | 2006-11-21 |
| 1225063407 | Seth Paskon | Internal Medicine | Potosi Medical Clinic, #1 Kwan Plaza, Potosi, MO 63664 | 2006-07-12 |
| 1346295607 | Donna Yates | Nurse Practitioner | 600 Purcell Dr, Suite B, Potosi, MO 63664 | 2006-05-24 |
| 1467424788 | Washington County Memorial Hospital | Clinic/Center | 108 Frizzell Street, Potosi, MO 63664 | 2006-02-02 |
| Find all providers in zip 63664 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972707099 | Linda D Butler | Nurse Practitioner | 108 Frizzell St., Ste. 6, Potosi, MO 63664-1505 | 2007-06-13 |
| 1346295607 | Donna Yates | Nurse Practitioner | 600 Purcell Dr, Suite B, Potosi, MO 63664 | 2006-05-24 |
| 1346290491 | Ann M Weltin | Nurse Practitioner | 102 Us Highway 61 N, Potosi, WI 53820-9502 | 2006-05-11 |
| 1699724443 | Grant Regional Health Center, Inc | Nurse Practitioner | 114 Us Highway 61 N, Potosi, WI 53820-9502 | 2006-05-09 |
| 1144831124 | Kristin R Jennings | Nurse Practitioner | 1 Southtowne Dr, Potosi, MO 63664-5729 | 2020-08-12 |
| 1992367213 | Shannon Michelle Leftridge | Nurse Practitioner | 1 Southtowne Dr, Potosi, MO 63664-5729 | 2019-07-08 |
| 1578092797 | Brittany Nicole Helms | Nurse Practitioner | 1 Southtowne Dr, Potosi, MO 63664-5729 | 2017-06-10 |
| 1285171462 | Kallie Belfield | Nurse Practitioner | 300 Health Way Dr, Potosi, MO 63664-1420 | 2017-01-25 |
| 1912359852 | Sarah Michelle Trokey | Nurse Practitioner | 200 Health Way Dr, Potosi, MO 63664-1434 | 2016-07-03 |
| 1164863775 | Shawn Lenn Geile | Nurse Practitioner | 108 Frizzell St, Potosi, MO 63664-1505 | 2013-07-11 |
| Find all providers in POTOSI | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.