Individual
ANGELO LLANES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, CRNA
Contact information
Practice address
355 GRAND ST, JERSEY CITY, NJ 07302-4321
(201) 915-2000
Mailing address
171 FOWLER AVE, JERSEY CITY, NJ 07305-2025
(201) 467-6101
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
26NR16229100
NJ
163WC0200X
Critical Care Medicine Registered Nurse
73279301
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
26NJ01389600
NJ
Other
Enumeration date
07/10/2020
Last updated
11/01/2022
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