Individual
MARIA ANGELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
555 N DUKE ST, LANCASTER, PA 17602-2250
(717) 544-5511
Mailing address
555 N DUKE ST, LANCASTER, PA 17602-2250
(717) 544-5511
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN322319L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001802355
HIGHMARK
PA
01
—
106577
GEISINGER
PA
01
—
2638696000
INDEPENDENCE BLUE CROSS
PA
01
—
50060162
CAPITAL BLUE CROSS
PA
01
—
7532807
AETNA-NON HMO
PA
01
—
P00311703
RR MEDICARE
PA
Enumeration date
03/03/2006
Last updated
03/30/2011
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