Provider Demographics
NPI:1386935856
Name:LEEPER, ANGELA MARIE (MSN ED, RN-BC)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:MARIE
Last Name:LEEPER
Suffix:
Gender:F
Credentials:MSN ED, RN-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1531 N HANCOCK ST
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:NE
Mailing Address - Zip Code:68025-3234
Mailing Address - Country:US
Mailing Address - Phone:402-317-9870
Mailing Address - Fax:
Practice Address - Street 1:1531 N HANCOCK ST
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:NE
Practice Address - Zip Code:68025-3234
Practice Address - Country:US
Practice Address - Phone:402-317-9870
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-02
Last Update Date:2011-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE49752163WC1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1600XNursing Service ProvidersRegistered NurseContinuing Education/Staff Development