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General NPI Number Information
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NPI Number | 1265034623
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Entity Type | Individual
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Provider Name | ANGELICA NICOLINA FERRAZZI PETROUS DNP, APRN, AGPCNP-BC
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Gender | Female
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Dates
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Enumeration Date | 11/11/2020
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Last Update Date | 03/16/2025
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Provider Practice Location Address
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Address Line | 7503 SURRATTS RD STE 101
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City | CLINTON
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State | MD
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Zip | 20735-3358
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Country | US
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Telephone | 301-877-4673
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Fax | 301-235-3381
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Provider Business Mailing Address
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Address Line | 7503 SURRATTS RD
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City | CLINTON
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State | MD
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Zip | 20735-3358
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Country | US
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Telephone | 301-877-4673
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Fax | 301-235-3381
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | RN1030205
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | RN1030205
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | RN1030205
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License Number State | DC
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Taxonomy #4
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | AC003509
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License Number State | MD
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