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Contact Information

SHAUNTARA A ANGELO, CRNP
361 ALEXANDER SPRING RD
CARLISLE, PA17015-6940
 Phone: 717-960-3414
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

363LP0200X 50 Nurse Practitioner
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for SHAUNTARA A ANGELO · (Female)

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
  • PA License # SP018809
  • PA Other SP018809 CRNP LICENSE
Hospital affiliation(s) Not Available
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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