Provider Demographics
NPI:1477139392
Name:DOZIER, ANGELA MAE (APRN-FNP)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:MAE
Last Name:DOZIER
Suffix:
Gender:F
Credentials:APRN-FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 SAXILBY LN
Mailing Address - Street 2:
Mailing Address - City:BELLA VISTA
Mailing Address - State:AR
Mailing Address - Zip Code:72715-6626
Mailing Address - Country:US
Mailing Address - Phone:702-908-7027
Mailing Address - Fax:
Practice Address - Street 1:24 SAXILBY LN
Practice Address - Street 2:
Practice Address - City:BELLA VISTA
Practice Address - State:AR
Practice Address - Zip Code:72715-6626
Practice Address - Country:US
Practice Address - Phone:702-908-7027
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-22
Last Update Date:2024-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR215076363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty