IndividualActive
Angela Northcutt, PA-C
NPI 1740287119 · Surgical Physician Assistant · Bloomington, IN
Provider details
- NPI number
- 1740287119
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 9948 (MN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
123 S Franklin Rd
Bloomington, IN 47404-5296
Phone: (812) 778-3116
Fax: (812) 778-3117
Approximate (ZIP-level) locationGet directions
Mailing address
123 S Franklin Rd
Bloomington, IN 47404-5296
Registry dates
- Enumerated
- 2005-06-30
- Last updated
- 2023-01-11
- Certified
- 2023-01-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.