Individual provider · Type 1 NPI

Angela Syphaseut, AGNP-C

Gerontology Nurse Practitioner · Charlotte, NC

NPI number 1295627768 Active

Practice location

7845 Little Ave
Charlotte, NC 28226-8198

Fax (704) 887-6450

Mailing address

PO Box 470408
Charlotte, NC 28247-0408

Other practice locations

  • 951 Wendover Heights Dr, Shelby, NC 28150-3565 · (704) 487-4677

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X5022659 (NC)

Gerontology Nurse Practitioner: Definition to come...

58 other providers at this address

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About NPI 1295627768

Angela Syphaseut, AGNP-C's National Provider Identifier is 1295627768, issued on Jul 17, 2025. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Charlotte, NC. The record was last updated on Oct 12, 2026.