Provider Demographics
NPI:1215253570
Name:GIEGERICH, ANGELA (NP-C)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:
Last Name:GIEGERICH
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11111 NALL AVE
Mailing Address - Street 2:SUITE 222
Mailing Address - City:LEAWOOD
Mailing Address - State:KS
Mailing Address - Zip Code:66211-1924
Mailing Address - Country:US
Mailing Address - Phone:913-338-5448
Mailing Address - Fax:913-317-8340
Practice Address - Street 1:11111 NALL AVE
Practice Address - Street 2:SUITE 222
Practice Address - City:LEAWOOD
Practice Address - State:KS
Practice Address - Zip Code:66211-1924
Practice Address - Country:US
Practice Address - Phone:913-338-5448
Practice Address - Fax:913-317-8340
Is Sole Proprietor?:No
Enumeration Date:2010-04-12
Last Update Date:2010-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2010010152363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner