Provider Demographics
NPI:1740749084
Name:ANGU, FLORENCE YEMEI (RN)
Entity Type:Individual
Prefix:
First Name:FLORENCE
Middle Name:YEMEI
Last Name:ANGU
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:FLORENCE
Other - Middle Name:YEMEI
Other - Last Name:NKOLO-KANGKOLO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1116 NE GREEN ST
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64086-5846
Mailing Address - Country:US
Mailing Address - Phone:816-519-6931
Mailing Address - Fax:
Practice Address - Street 1:4801 E LINWOOD BLVD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64128-2226
Practice Address - Country:US
Practice Address - Phone:816-861-4700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-17
Last Update Date:2019-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2007021408163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical