MEDICARE: ANGELA MARIE RASHEED PMHNP-BC

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	28335	SC
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	5013109	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2019084323	OTHER	NC	ANCC

General Provider Information

NPI Number	:	1144840943
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELA MARIE RASHEED PMHNP-BC

Provider Business Mailing Address
First Line	:	PO BOX 42421
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28215-0008
Country	:	US
Telephone Number	:	704-648-8783
Fax Number	:

Provider Business Practice Location Address
First Line	:	811 RIVER TRAIL RD
Second Line	:
City	:	LOWELL
State	:	NC
Zip	:	28098-1280
Country	:	US
Telephone Number	:	704-648-8783
Fax Number	:

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

Provider Enumeration Date	:	04/21/2020
Last Update Date	:	11/19/2024

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