Individual provider · Type 1 NPI
Susan A. Angelicola, MSN, RNC
Obstetrics & Gynecology Nurse Practitioner · New Providence, NJ
NPI number
1265593933
Active
Practice location
890 Mountain Ave
New Providence, NJ 07974-1218
Fax (908) 608-2376
Mailing address
66 W Gilbert St, 2nd Floor
Tinton Falls, NJ 07701-4947
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner Primary | 363LX0001X | 26NN11336200 (NJ) |
Obstetrics & Gynecology Nurse Practitioner: Definition to come...
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About NPI 1265593933
Susan A. Angelicola, MSN, RNC's National Provider Identifier is 1265593933, issued on Dec 13, 2006. The primary taxonomy on file is Obstetrics & Gynecology Nurse Practitioner (363LX0001X), and the practice location is in New Providence, NJ. The record was last updated on Jul 5, 2019.