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NPI Code Detail

MEDICARE: ANGELA DAWN LOVE CNM, ARNP

MEDICARE:   ANGELA DAWN LOVE  CNM, ARNP
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
1363LX0001XObstetrics & Gynecology Nurse PractitionerARNP 3390252FL

General Provider Information

NPI Number : 1659374106
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA DAWN LOVE CNM, ARNP
Provider Business Mailing Address
First Line : 126 43RD AVE SW
Second Line :
City : VERO BEACH
State : FL
Zip : 32968-2382
Country : US
Telephone Number : 772-766-5683
Fax Number : 772-539-8369
Provider Business Practice Location Address
First Line : 126 43RD AVE SW
Second Line :
City : VERO BEACH
State : FL
Zip : 32968-2382
Country : US
Telephone Number : 772-766-5683
Fax Number : 772-539-8369
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2005
Last Update Date : 03/26/2019

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