IndividualActive
Angela Devore
NPI 1457964637 · Specialist · Waite Park, MN
Provider details
- NPI number
- 1457964637
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
423 Great Oak Dr
Waite Park, MN 56387-2507
Phone: (218) 287-4338
Approximate (ZIP-level) locationGet directions
Mailing address
891 Belsly Blvd
Moorhead, MN 56560-5055
Additional practice locations (1)
- 205 14th Ave ESartell, MN 56377-4500Phone: (320) 774-3436Fax: (320) 774-3440
Registry dates
- Enumerated
- 2020-08-26
- Last updated
- 2021-04-28
- Certified
- 2021-04-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.