IndividualActive
Beth Angle
NPI 1639683824 · Licensed Practical Nurse · Centralia, IL
Beth Angle is a Licensed Practical Nurse provider in Centralia, IL (NPI 1639683824).
Provider details
- NPI number
- 1639683824
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 043123661 (IL)
Practice location
904 E. Martin Luther King Drive
Centralia, IL 62801-3058
Phone: (618) 533-1391
Fax: (618) 533-0012
Street-level locationGet directions
Mailing address
904 E. Martin Luther King Drive
Centralia, IL 62801-3058
Registry dates
- Enumerated
- 2017-11-27
- Last updated
- 2017-11-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.