Marybeth Deangelis, BSN, RN
Individual provider Active NPI Adult Medicine Physician · Evesham, NJ
NPI 1699536771 · NPPES record last updated Jan 17, 2024
Key facts
- NPI
- 1699536771
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Medicine Physician 207QA0505X
- License
- RN2380049 (MA)
- Practice address
- 223 Overbrook LN
Evesham, NJ 08053-6605 - Phone
- (609) 760-6169
- NPI assigned
- Jan 17, 2024
- 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
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2380049 | MA | MD | Adult Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | RN2380049 | MA | Yes |
Addresses
Primary practice location
223 Overbrook LN
Evesham, NJ 08053-6605
Mailing address
223 Overbrook LN
Evesham, NJ 08053-6605
Phone (609) 760-6169
Other names
- Marybeth Parnell
Other providers in Evesham, NJ
- Yadid Chaniz-Rico
- Tamara Clara Christian
- Kathleen Connelly
- CSH Marlton Lessee, LLC
- Kevin Edward Davis
- Dental Arts & Wellness LLC
- Danielle Dolores
- Extraordinary Minds
- Eyes on Evesham, L.L.C.
- Joshua L Forvour
All providers in Evesham, NJ · Adult Medicine Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 17, 2024. 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.