Angela Magolan, DNP, APRN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704260464 Issued in MI

Practice address

2778 Griffith Ave
Berkley, MI 48072-1379

Phone

(586) 596-2886

NPI assigned

Nov 16, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1573862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605744000000",
    "number": "1861037517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2778 GRIFFITH AVE",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480721379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2778 GRIFFITH AVE",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480721379",
            "telephone_number": "586-596-2886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGOLAN",
        "first_name": "ANGELA",
        "credential": "DNP, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-16",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704260464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "asmagola@oaklandcc.edu",
            "affiliation": "N",
            "endpointDescription": "work secure email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "work secure email",
            "address_1": "2778 Griffith Ave",
            "city": "Berkley",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480721379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Family Nurse Practitioner in Berkley, MI
• Providers in Berkley, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.