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Individual

ANGELINA MUSSELMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN NP-C

Contact information

Practice address
10701 NEW GEORGES CREEK RD SW, FROSTBURG, MD 21532-1457
(301) 689-3229
(301) 689-1129
Mailing address
329 SUNRISE BLVD, ROMNEY, WV 26757-4607
(304) 822-4932
(304) 822-4957

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN80560
WV
363LF0000X
Family Nurse Practitioner
80560
WV
363LF0000X
Family Nurse Practitioner
Primary
AC002362
MD
363LF0000X
Family Nurse Practitioner
APRN80560
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
211828
FQHC MEDICARE
MD
05
3810029354
WV
05
564003200
MD
Enumeration date
01/21/2015
Last updated
08/04/2021
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