| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ANGELA MAKSUTOSKI | 1043799810 | 2022-10-01 |
Angela Lynn Maksutoski [F] graduated in 2018 and primarily specializes in Nurse Practitioner.
Angela Maksutoski is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1043799810. Registration indicates Angela Maksutoski is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Family, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Family, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
| PECOS ID | 1052663887 |
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Angela Maksutoski ARNP, FNP-C |
| Practice Office Address | 411 LAUREL ST STE A300 DES MOINES, IA US |
| Practice Office Telephone | 5152822921 |
| Mailing Address | 411 LAUREL ST STE A300 DES MOINES, IA 503143030 US |
| Business Telephone | 5152822921 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 1221 Pleasant St Ste 100 | Des Moines, IA 503091424 | 5152822921 |
| Direct Messaging Address [] | [email protected] |
| Code | Practice | License No State |
|---|---|---|
| 363LF0000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse PractitionerAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Family All Other Specialties & Provider Types Nurse Practitioner Family Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | A121672
IA |