Provider Demographics
NPI:1003339532
Name:SARTEN, ANGELIA RUBLE (REGISTERED NURSE)
Entity type:Individual
Prefix:
First Name:ANGELIA
Middle Name:RUBLE
Last Name:SARTEN
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1067 N. MAIN ST. PMB 284
Mailing Address - Street 2:
Mailing Address - City:NICHLOSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40356
Mailing Address - Country:US
Mailing Address - Phone:833-226-7624
Mailing Address - Fax:833-269-7474
Practice Address - Street 1:2627 REDWING RD STE 235
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80526-6352
Practice Address - Country:US
Practice Address - Phone:833-226-7624
Practice Address - Fax:833-269-7474
Is Sole Proprietor?:No
Enumeration Date:2017-07-17
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95114897163WE0003X
AK118313163WE0003X
KY1108818163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WE0003XNursing Service ProvidersRegistered NurseEmergency