| Beth Angle, | |
|
904 E. Martin Luther King Drive, Centralia, IL 62801-3058 | |
| (618) 533-1391 | |
| (618) 533-0012 |
| Full Name | Beth Angle |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 904 E. Martin Luther King Drive, Centralia, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639683824 | NPI | - | NPPES |
| 370915481007 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 043123661 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Beth Angle, 904 E. Martin Luther King Drive, Centralia, IL 62801-3058 Ph: (618) 533-1391 | Beth Angle, 904 E. Martin Luther King Drive, Centralia, IL 62801-3058 Ph: (618) 533-1391 |
Czareenah Dela Cruz Apostol, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 904 E Martin Luther King Dr, Centralia, IL 62801 Phone: 618-533-1391 Fax: 618-533-0012 | |
Eydie Gass, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 904 M L King Dr, Centralia, IL 62801 Phone: 618-533-1391 |