Angela Rose Depa
NPI #1194291237 in Long Grove, Illinois
Provider Information
- NPI Number
- 1194291237
- Entity Type
- Individual
- Name
- Angela Rose Depa
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Oct 16, 2018
- Last Updated
- Dec 20, 2021
Practice Location
- Address
- 3880 SALEM LAKE DR STE F
- City
- Long Grove
- State
- Illinois
- ZIP Code
- 60047-5292
- Phone
- (847) 719-2220
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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