Angela Soto
Individual provider Active NPI Nurse's Aide · Mt Holly, NJ
NPI 1194104448 · NPPES record last updated May 20, 2015
Key facts
- NPI
- 1194104448
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse's Aide 376K00000X
- License
- NA200017557 (NJ)
- Practice address
- 770 Woodlane Rd
Mt Holly, NJ 08060 - Phone
- (609) 267-5928
- NPI assigned
- May 20, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| NA200017557 | NJ | MD | Nurse's Aide |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | NA200017557 | NJ | Yes |
Addresses
Primary practice location
770 Woodlane Rd
Mt Holly, NJ 08060
Mailing address
770 Woodlane Road
Mt. Holly, NJ 08060
Phone (609) 267-5928
Other providers in Mt Holly, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2015. 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.