MEDICARE: ANGELINA MARIE NEME PA-C

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	363A00000X	Physician Assistant	5601013553	MI

General Provider Information

NPI Number	:	1205797172
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELINA MARIE NEME PA-C

Provider Business Mailing Address
First Line	:	1 WILLIAM CARLS DR STE 120
Second Line	:
City	:	COMMERCE TOWNSHIP
State	:	MI
Zip	:	48382-2201
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 WILLIAM CARLS DR STE 120
Second Line	:
City	:	COMMERCE TOWNSHIP
State	:	MI
Zip	:	48382-2201
Country	:	US
Telephone Number	:	248-937-4947
Fax Number	:	248-937-5150

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

Provider Enumeration Date	:	11/20/2025
Last Update Date	:	12/03/2025

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