Provider Demographics
NPI:1447513171
Name:FEARS, ANGELA (REGISTERED NURSE)
Entity type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:
Last Name:FEARS
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:421 ENGLISH SPARROW DR
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80129-5646
Mailing Address - Country:US
Mailing Address - Phone:720-344-4772
Mailing Address - Fax:
Practice Address - Street 1:421 ENGLISH SPARROW DR
Practice Address - Street 2:
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80129-5646
Practice Address - Country:US
Practice Address - Phone:720-344-4772
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-18
Last Update Date:2012-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO150611163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse