IndividualActive
Angel Whitehead
NPI 1093570004 · Peer Specialist · Fargo, ND
Provider details
- NPI number
- 1093570004
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Sex
- Female
- Sole proprietor
- No
Mailing address
1122 1st Ave N
Fargo, ND 58102-4604
Registry dates
- Enumerated
- 2024-02-19
- Last updated
- 2024-02-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.