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1912422064 NPI number — ANGELA ANN MARSELLA PHARMD, MBA

NPI Number: 1912422064
Health Care Provider/Practitioner: ANGELA ANN MARSELLA PHARMD, MBA

Information about “1912422064” NPI (ANGELA ANN MARSELLA PHARMD, MBA) exists in 1912422064 in HTML format HTML  |  1912422064 in plain Text format TXT  |  1912422064 in PDF (Portable Document Format) PDF  |  1912422064 in an XML format XML  formats.

NPI Number : 1912422064 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1912422064",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MARSELLA",
    "FirstName": "ANGELA",
    "MiddleName": "ANN",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "PHARMD, MBA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MARSELLA",
    "OtherFirstName": "ANGELA",
    "OtherMiddleName": "A",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "PHARMD",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "232 S YATES RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MEMPHIS",
    "MailingAddressStateName": "TN",
    "MailingAddressPostalCode": "38120-2263",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "334-447-8007",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "116 N PAULINE ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MEMPHIS",
    "PracticeLocationAddressStateName": "TN",
    "PracticeLocationAddressPostalCode": "38104-1005",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "901-523-8990",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/10/2017",
    "LastUpdateDate": "10/14/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "1835P1300X",
        "TaxonomyName": "Psychiatric Pharmacist",
        "LicenseNumber": "19076-40",
        "LicenseNumberStateCode": "WI",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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