Healthcare Provider Details

I. General information

NPI: 1417601287
Provider Name (Legal Business Name): ANNA MAY ARCANGEL TALABIS BSN,RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/09/2022
Last Update Date: 02/09/2022
Certification Date: 02/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 COTTMAN AVE
PHILADELPHIA PA
19111-2497
US

IV. Provider business mailing address

333 COTTMAN AVE
PHILADELPHIA PA
19111-2497
US

V. Phone/Fax

Practice location:
  • Phone: 215-728-2607
  • Fax:
Mailing address:
  • Phone: 215-728-2607
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WX0200X
TaxonomyOncology Registered Nurse
License NumberRN500472L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: