| NPI | 1396379657 |
|---|---|
| Former Name | NICOLE MARIE ANGIONE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN-11006060) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 1100660) |
| Enumeration Date | 2020-02-26 |
| Last Update Date | 2024-08-21 |