Individual
MRS. ANGELA DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
200 MADISON AVE STE 1D, ELMIRA, NY 14901-3219
(607) 873-1832
(607) 873-1833
Mailing address
600 IVY ST STE 206, ELMIRA, NY 14905-1627
(607) 271-2050
(607) 271-2071
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
353009
NY
363LF0000X
Family Nurse Practitioner
Primary
SPO14108
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07833609
—
NY
05
—
103075133
—
PA
Enumeration date
08/28/2014
Last updated
03/09/2026
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