Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Angela Jean Moothart, RN

Individual provider Diabetes Educator Registered Nurse · NPI 1679410484

Angela Jean Moothart, RN is a Diabetes Educator Registered Nurse in Detroit Lakes, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2026
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

1027 Washington Ave
Detroit Lakes, MN 56501-3409
Phone: (218) 844-2300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diabetes Educator Registered Nurse (primary) Taxonomy 163WD0400X · Licence 1603668 (MN)

Record details

NPI number1679410484
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorYes
NPI enumeratedApril 30, 2026
Last updated in NPPESApril 30, 2026
Certification dateApril 30, 2026

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