Provider Demographics
NPI:1205806536
Name:CURRY, ANGELA K
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:K
Last Name:CURRY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1523
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72702-1523
Mailing Address - Country:US
Mailing Address - Phone:479-571-6038
Mailing Address - Fax:479-582-0222
Practice Address - Street 1:3302 N NORTHHILLS BLVD
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72703-4008
Practice Address - Country:US
Practice Address - Phone:479-582-3366
Practice Address - Fax:479-571-6572
Is Sole Proprietor?:No
Enumeration Date:2006-01-26
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE-3155207VG0400X, 207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR160055510OtherMEDICARE RAILROAD CARRIER
7731636OtherCIGNA
AR11091000040OtherQUALCHOICE
AR145847001Medicaid
AR5M063OtherBLUE CROSS
AS0140025OtherHUMANA TRICARE
AR770240801OtherEDS BREASTCARE
AR11091000040OtherQUALCHOICE
AR770240801OtherEDS BREASTCARE