Individual provider · Type 1 NPI

Georgia Marie Angelo, FNP-BC

Family Nurse Practitioner · Staten Island, NY

NPI number 1104331701 Active

Practice location

355 Bard Ave
Staten Island, NY 10310-1664

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	F341356 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1104331701

Georgia Marie Angelo, FNP-BC's National Provider Identifier is 1104331701, issued on Dec 5, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Staten Island, NY. The record was last updated on Mar 12, 2019.