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Individual
MAGGIE D'ANGELO
Active
Individual
MAGGIE D'ANGELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4YP5D8MI
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5017664
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2022097187
BOARD CERTIFICATION NUMBER
NC
Enumeration date
09/12/2022
Last updated
02/26/2023
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