Individual
JOANNE F ANGSTADT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
200 BELLE TERRE ROAD, PORT JEFFERSON, NY 11733
(631) 675-2462
Mailing address
2 CHEREB CT, SETAUKET, NY 11733-3000
(631) 675-2462
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
176262
GA
Other
Enumeration date
02/18/2009
Last updated
03/27/2013
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