Individual
LOREN JEAN D'ANGELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
003835
CT
363LP0200X
Pediatric Nurse Practitioner
Primary
RN246327
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
RN246327
MA
Other
Enumeration date
08/13/2008
Last updated
02/23/2022
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