Healthcare Provider Details

I. General information

NPI: 1124932454
Provider Name (Legal Business Name): ANGELA FLOYD-SAPP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/02/2026
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1155 SUMMIT ST NE
WASHINGTON DC
20002-3111
US

IV. Provider business mailing address

1155 SUMMIT ST NE
WASHINGTON DC
20002-3111
US

V. Phone/Fax

Practice location:
  • Phone: 703-343-5209
  • Fax:
Mailing address:
  • Phone: 703-343-5209
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN11050443
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: