Provider Demographics
NPI:1821422098
Name:ZORA, ANGELA MICHELLE (APN, FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:MICHELLE
Last Name:ZORA
Suffix:
Gender:F
Credentials:APN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:304 W HAY ST STE 111
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:IL
Mailing Address - Zip Code:62526-6329
Mailing Address - Country:US
Mailing Address - Phone:271-872-8200
Mailing Address - Fax:217-872-4898
Practice Address - Street 1:304 W HAY ST STE 111
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:IL
Practice Address - Zip Code:62526-6329
Practice Address - Country:US
Practice Address - Phone:217-872-8200
Practice Address - Fax:217-872-4898
Is Sole Proprietor?:No
Enumeration Date:2013-08-24
Last Update Date:2022-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209.010664363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily