Angel Karisma Joel, CERTIFIED NURSE AID
Individual provider Active NPI Contractor · Stafford, VA
NPI 1013369032 · NPPES record last updated Jul 1, 2016
Key facts
- NPI
- 1013369032
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- License
- 1401137134 (VA)
- Practice address
- 28 Courage LN
Stafford, VA 22554-4844 - Phone
- (703) 364-8644
- NPI assigned
- Jul 1, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1401137134 | VA | MD | Contractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | 1401137134 | VA | Yes |
Addresses
Primary practice location
28 Courage LN
Stafford, VA 22554-4844
Mailing address
4 Courage LN
Stafford, VA 22554-4843
Phone (703) 364-8644
Other names
- Angel Karisma Udochi Azubike-Joel
Other providers in Stafford, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.