Individual
ALYSSA RENEE ANGELINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTIONER
Contact information
Practice address
200 BOWMAN DR STE E366, VOORHEES, NJ 08043-9639
(856) 247-7295
(856) 247-7118
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 247-7295
(856) 247-7118
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26N011750100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0401129
—
NJ
Enumeration date
05/23/2007
Last updated
04/23/2025
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