Provider Demographics
NPI:1821472556
Name:DEVRIES, ANGELA (ARNP NP-C)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:
Last Name:DEVRIES
Suffix:
Gender:F
Credentials:ARNP NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2712 ORCHARD DRIVE SUITE B
Mailing Address - Street 2:
Mailing Address - City:CEDAR FALLS
Mailing Address - State:IA
Mailing Address - Zip Code:50613-6100
Mailing Address - Country:US
Mailing Address - Phone:319-242-6871
Mailing Address - Fax:319-242-6881
Practice Address - Street 1:2712 ORCHARD DRIVE SUITE B
Practice Address - Street 2:
Practice Address - City:CEDAR FALLS
Practice Address - State:IA
Practice Address - Zip Code:50613-6100
Practice Address - Country:US
Practice Address - Phone:319-404-2262
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-13
Last Update Date:2022-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA107977363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily