Provider Demographics
NPI:1255606786
Name:WEINZAPFEL, ANGELA JOY (CRNA)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:JOY
Last Name:WEINZAPFEL
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:ANGELA
Other - Middle Name:JOY
Other - Last Name:BUTLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA
Mailing Address - Street 1:600 W 13TH ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:JASPER
Mailing Address - State:IN
Mailing Address - Zip Code:47546-1881
Mailing Address - Country:US
Mailing Address - Phone:812-483-2228
Mailing Address - Fax:
Practice Address - Street 1:600 W 13TH ST
Practice Address - Street 2:SUITE 100
Practice Address - City:JASPER
Practice Address - State:IN
Practice Address - Zip Code:47546-1881
Practice Address - Country:US
Practice Address - Phone:812-483-2228
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-16
Last Update Date:2013-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28161162A367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered