MEDICARE: ANGELA TERRILL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	164W00000X	Licensed Practical Nurse	LP51665	MD

General Provider Information

NPI Number	:	1063371680
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELA TERRILL

Provider Business Mailing Address
First Line	:	1106 BUSINESS PKWY S STE B
Second Line	:
City	:	WESTMINSTER
State	:	MD
Zip	:	21157-3054
Country	:	US
Telephone Number	:	410-751-7771
Fax Number	:	410-751-7736

Provider Business Practice Location Address
First Line	:	1106 BUSINESS PKWY S STE B
Second Line	:
City	:	WESTMINSTER
State	:	MD
Zip	:	21157-3054
Country	:	US
Telephone Number	:	410-751-7771
Fax Number	:	410-751-7736

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/20/2026
Last Update Date	:	01/20/2026

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Directions to “ ANGELA TERRILL ” Practice Location

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