IndividualActive
Angela Roberts
NPI 1174742399 · Licensed Practical Nurse · Decatur, IL
Provider details
- NPI number
- 1174742399
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
Mailing address
Po Box 710
Decatur, IL 62525-0710
Registry dates
- Enumerated
- 2007-04-25
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.