Provider Demographics
NPI:1013229251
Name:LIMPUS, ANGELA R (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:R
Last Name:LIMPUS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4941 N TOWNE CENTRE DR
Mailing Address - Street 2:
Mailing Address - City:OZARK
Mailing Address - State:MO
Mailing Address - Zip Code:65721-8280
Mailing Address - Country:US
Mailing Address - Phone:417-551-4810
Mailing Address - Fax:417-551-4814
Practice Address - Street 1:4941 N TOWNE CENTRE DR
Practice Address - Street 2:
Practice Address - City:OZARK
Practice Address - State:MO
Practice Address - Zip Code:65721-8280
Practice Address - Country:US
Practice Address - Phone:417-551-4810
Practice Address - Fax:417-551-4818
Is Sole Proprietor?:No
Enumeration Date:2010-07-03
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2010021114363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO1013229251Medicaid
MO132300599Medicare PIN