Jacqueline Angelo, RN
Individual provider Active NPI Registered Nurse · Conifer, CO
NPI 1386228922 · NPPES record last updated May 10, 2021
Key facts
- NPI
- 1386228922
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN.0119384 (CO)
- Practice address
- 31032 Haldimand Dr
Conifer, CO 80433-7524 - Phone
- (720) 807-8100
- NPI assigned
- May 10, 2021
- 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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.0119384 | CO | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN.0119384 | CO | Yes |
Addresses
Primary practice location
31032 Haldimand Dr
Conifer, CO 80433-7524
Mailing address
31032 Haldimand Dr
Conifer, CO 80433-7524
Phone (720) 807-8100
Other providers in Conifer, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 10, 2021. 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.