Healthcare Provider Details

I. General information

NPI: 1316750771
Provider Name (Legal Business Name): ANGELA NUREK DNP, AGACNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/29/2025
Last Update Date: 01/29/2025
Certification Date: 01/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

182 WEST ST
WARE MA
01082-1442
US

IV. Provider business mailing address

133 BROOKFIELD RD
FISKDALE MA
01518-1133
US

V. Phone/Fax

Practice location:
  • Phone: 413-967-5562
  • Fax:
Mailing address:
  • Phone: 413-214-4696
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License NumberRN2308782
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: