National Provider Identifier Database

SHAUNTARA A ANGELO, CRNP – NPI #1225520661
Pediatrics


Contact Information

SHAUNTARA A ANGELO, CRNP
361 ALEXANDER SPRING RD
CARLISLE, PA17015-6940
Phone: 717-960-3414
Fax:
Website:
Specialty Taxonomy Code
* Pediatrics 363LP0200X
Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for SHAUNTARA A ANGELO

NPI Number 1225520661
Credentials CRNP (Certified Registered Nurse Practitioner)
Entity Individual
Enumeration date 06/01/2018
Last updated 10/22/2024 - More than a year ago
Sole proprietor1 No
Identifiers
  • PA License #: SP018809
  • PA Other: SP018809 CRNP LICENSE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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