Angiesangels LLC
Organization Active NPI Registered Nurse · Locust Grove, GA
NPI 1255976007 · NPPES record last updated Nov 18, 2019
Key facts
- NPI
- 1255976007
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Registered Nurse 163W00000X
- Legal business name
- ANGIESANGELS LLC
- Practice address
- 212 Polo LN
Locust Grove, GA 30248-3693 - Phone
- (770) 334-7199
- NPI assigned
- Nov 14, 2019
- Organization subpart
- No
Authorized official
- Name
- Claudette Simon, RN
- Title
- Owner
- Phone
- (678) 759-9104
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse |
163W00000X | Yes | ||
| Nurse's Aide |
376K00000X |
Addresses
Primary practice location
212 Polo LN
Locust Grove, GA 30248-3693
Mailing address
PO Box 41
Locust Grove, GA 30248-0041
Phone (678) 759-9104
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All providers in Locust Grove, GA · Registered Nurse in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2019. 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.