IndividualActive
Angela Blose, RN
NPI 1013756709 · Child & Adolescent Psychiatric/Mental Health Registered Nurse · Mustang, OK
Provider details
- NPI number
- 1013756709
- Entity type
- Individual
- Primary specialty
- Child & Adolescent Psychiatric/Mental Health Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- License
- R0134588 (OK)
Practice location
932 W State Highway 152
Mustang, OK 73064-2301
Phone: (405) 577-5477
Mailing address
932 W State Highway 152
Mustang, OK 73064-2301
Registry dates
- Enumerated
- 2024-05-22
- Last updated
- 2024-05-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.