Provider Demographics
NPI:1285966366
Name:BRIGGS, ANGELA SABINE (MT)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:SABINE
Last Name:BRIGGS
Suffix:
Gender:F
Credentials:MT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12285 KALISPELL ST
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:CO
Mailing Address - Zip Code:80603-6917
Mailing Address - Country:US
Mailing Address - Phone:208-760-9080
Mailing Address - Fax:
Practice Address - Street 1:12285 KALISPELL ST
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:CO
Practice Address - Zip Code:80603-6917
Practice Address - Country:US
Practice Address - Phone:208-760-9080
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-01
Last Update Date:2010-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID224652246QM0706X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246QM0706XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyMedical Technologist