Individual
ANGELA ROSE JOHANNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.P.
Contact information
Practice address
37767 MARKET DR, CHARLOTTE HALL, MD 20622-3188
(301) 884-0278
Mailing address
23135 FOXGLOVE WAY, CALIFORNIA, MD 20619
(301) 880-6210
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R153084
MD
Other
Enumeration date
09/27/2013
Last updated
06/19/2024
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