Healthcare Provider Details

I. General information

NPI: 1801221692
Provider Name (Legal Business Name): ANGELA LYNNE TRAMELLI DNP, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/11/2013
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2435 NE CUMULUS AVE STE A
MCMINNVILLE OR
97128-8805
US

IV. Provider business mailing address

2435 NE CUMULUS AVE STE A
MCMINNVILLE OR
97128-8805
US

V. Phone/Fax

Practice location:
  • Phone: 503-472-6161
  • Fax: 503-434-6290
Mailing address:
  • Phone: 503-537-9600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number201708926NP-PP
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License Number201341084RN
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: