Provider Demographics
NPI:1508340779
Name:MESSING, ANGEL (RN, FNP-BC)
Entity Type:Individual
Prefix:
First Name:ANGEL
Middle Name:
Last Name:MESSING
Suffix:
Gender:F
Credentials:RN, FNP-BC
Other - Prefix:
Other - First Name:ANGEL
Other - Middle Name:
Other - Last Name:KING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2676 STEIN RD
Mailing Address - Street 2:
Mailing Address - City:BAD AXE
Mailing Address - State:MI
Mailing Address - Zip Code:48413-8408
Mailing Address - Country:US
Mailing Address - Phone:989-551-0308
Mailing Address - Fax:
Practice Address - Street 1:4675 HILL ST STE C
Practice Address - Street 2:
Practice Address - City:CASS CITY
Practice Address - State:MI
Practice Address - Zip Code:48726-1008
Practice Address - Country:US
Practice Address - Phone:989-912-6543
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-24
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704273536363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily