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NPI Code Detail

MEDICARE: ANGELA DEFREITAS NP

MEDICARE: ANGELA DEFREITAS NP
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
1363L00000XNurse Practitioner021143OH
2363L00000XNurse Practitioner110814WV

General Provider Information

NPI Number : 1720522741
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA DEFREITAS NP
Provider Business Mailing Address
First Line : 42860 COOK RD
Second Line :
City : POMEROY
State : OH
Zip : 45769-8021
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2520 VALLEY DR
Second Line :
City : POINT PLEASANT
State : WV
Zip : 25550-2092
Country : US
Telephone Number : 304-675-4340
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2016
Last Update Date : 12/13/2021

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Directions to “ ANGELA DEFREITAS NP” Practice Location

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