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NPI Code Detail

MEDICARE: MRS. ANGELA MONIQUE PEAGLER-HALL

MEDICARE:  MRS. ANGELA MONIQUE PEAGLER-HALL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered NurseRN567943PA
2363LF0000XFamily Nurse PractitionerSP013324PA

General Provider Information

NPI Number : 1366859522
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ANGELA MONIQUE PEAGLER-HALL
Provider Business Mailing Address
First Line : 5729 BEAUMONT AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19143-5204
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 13 SAINT ALBANS CIR STE C
Second Line :
City : NEWTOWN SQUARE
State : PA
Zip : 19073-3619
Country : US
Telephone Number : 484-422-8647
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2014
Last Update Date : 07/18/2014

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Directions to “ MRS. ANGELA MONIQUE PEAGLER-HALL ” Practice Location

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