IndividualActive
Angela Moothart, RN
NPI 1679410484 · Diabetes Educator Registered Nurse · Detroit Lakes, MN
Provider details
- NPI number
- 1679410484
- Entity type
- Individual
- Primary specialty
- Diabetes Educator Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1603668 (MN)
Specialties & taxonomies
Nursing Service Providers
Practice location
1027 Washington Ave
Detroit Lakes, MN 56501-3409
Phone: (218) 844-2300
Approximate (ZIP-level) locationGet directions
Mailing address
1027 Washington Ave
Detroit Lakes, MN 56501-3409
Registry dates
- Enumerated
- 2026-04-30
- Last updated
- 2026-04-30
- Certified
- 2026-04-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.