NPI Profile for SHAUNTARA A ANGELO in CARLISLE, PA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pediatrics |
363LP0200X | 50 | Nurse Practitioner | |
Pediatrics |
208000000X | 37 | Physician/Pediatric Medicine |
| NPI # | 1225520661 |
|
| Status | Active | |
| Credentials | CRNP (Certified Registered Nurse Practitioner) | |
| Entity | Individual | |
| Enumeration date | 06/01/2018 | |
| Last updated | 10/22/2024 - More than a year ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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SHAUNTARA A ANGELO
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