Individual
MS. ANGELA DOUGLAS-STALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, NP
Contact information
Practice address
2369 2ND AVE, NEW YORK, NY 10035-3108
(212) 876-2300
Mailing address
413 BEACH AVE, BRONX, NY 10473-3609
(646) 528-7246
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F401312-1
NY
Other
Enumeration date
10/21/2010
Last updated
01/30/2019
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