Healthcare Provider Details

I. General information

NPI: 1821456260
Provider Name (Legal Business Name): ANGELA MARIA NETTINA F.N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANGELA MARIA DELUCA RN

II. Dates (important events)

Enumeration Date: 01/31/2016
Last Update Date: 03/20/2020
Certification Date: 03/20/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 PATTON AVE
ASHVILLE NC
28806-2707
US

IV. Provider business mailing address

PO BOX 16367
ASHEVILLE NC
28816
US

V. Phone/Fax

Practice location:
  • Phone: 828-252-8957
  • Fax: 828-255-8028
Mailing address:
  • Phone: 828-252-8957
  • Fax: 828-255-8028

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License NumberARNP 1699082
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5012596
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: