Individual provider · Type 1 NPI

Angela Balcom

Women's Health Nurse Practitioner · Revere, MA

NPI number 1831927466 Active

Practice location

310 Broadway
Revere, MA 02151-5035

Mailing address

710 Quinnipiac Ave
New Haven, CT 06513-4007

Other practice locations

  • 710 Quinnipiac Ave, New Haven, CT 06513-4007 · (203) 503-3000

Specialties and licenses

TaxonomyCodeLicense
Ambulatory Women's Health Care Registered Nurse 163WW0101XRN10013081 (MA)
Women's Health Nurse Practitioner Primary 363LW0102XRN10013081 (MA)

Women's Health Nurse Practitioner: Definition to come...

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About NPI 1831927466

Angela Balcom's National Provider Identifier is 1831927466, issued on Jul 24, 2024. The primary taxonomy on file is Women's Health Nurse Practitioner (363LW0102X), and the practice location is in Revere, MA. The record was last updated on Dec 20, 2024.