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NPI Code Detail

MEDICARE: ANGELA NARDELLA

MEDICARE: ANGELA NARDELLA
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
1363LF0000XFamily Nurse Practitioner0024167875VA
2363L00000XNurse Practitioner0024167875VA

General Provider Information

NPI Number : 1831350552
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA NARDELLA
Provider Business Mailing Address
First Line : 1 CVS DR
Second Line :
City : WOONSOCKET
State : RI
Zip : 02895-6146
Country : US
Telephone Number : 401-770-1669
Fax Number :
Provider Business Practice Location Address
First Line : 13800 HULL STREET RD
Second Line :
City : MIDLOTHIAN
State : VA
Zip : 23112-2002
Country : US
Telephone Number : 804-739-2198
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2008
Last Update Date : 07/24/2012

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Directions to “ ANGELA NARDELLA ” Practice Location

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