Provider Demographics
NPI:1932539418
Name:METCALF, ANGELA SHAWN (MSN, APRN, FNP-C)
Entity type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:SHAWN
Last Name:METCALF
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
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 497
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:AR
Mailing Address - Zip Code:72006-0497
Mailing Address - Country:US
Mailing Address - Phone:870-347-2534
Mailing Address - Fax:870-301-2092
Practice Address - Street 1:4747 DUSTY LAKE DR STE G1
Practice Address - Street 2:
Practice Address - City:PINE BLUFF
Practice Address - State:AR
Practice Address - Zip Code:71603-9056
Practice Address - Country:US
Practice Address - Phone:870-641-2991
Practice Address - Fax:870-642-2992
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-19
Last Update Date:2025-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA006087363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily