Individual
ANGELA MEMMELAAR
Active
Individual
ANGELA MEMMELAAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
306051
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03494497
—
NY
01
—
121109000005
FIDELIS CARE NY
NY
Enumeration date
08/13/2012
Last updated
01/26/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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