Provider Demographics
NPI:1437382488
Name:WARD, ANGELA EVA-MARIE (BA)
Entity type:Individual
Prefix:MISS
First Name:ANGELA
Middle Name:EVA-MARIE
Last Name:WARD
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3750 W 24TH ST
Mailing Address - Street 2:APT. 3-201
Mailing Address - City:GREELEY
Mailing Address - State:CO
Mailing Address - Zip Code:80634-4100
Mailing Address - Country:US
Mailing Address - Phone:970-392-2998
Mailing Address - Fax:
Practice Address - Street 1:5831 E 74TH AVE
Practice Address - Street 2:
Practice Address - City:COMMERCE CITY
Practice Address - State:CO
Practice Address - Zip Code:80022-1325
Practice Address - Country:US
Practice Address - Phone:720-889-0461
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-25
Last Update Date:2009-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health