Angela Lee Gilmore, RN
Individual provider Active NPI Pediatric Registered Nurse · Orange, MA
NPI 1922540384 · NPPES record last updated Sep 21, 2022
Key facts
- NPI
- 1922540384
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Registered Nurse 163WP0200X
- License
- RN2300324 (MA)
- Practice address
- 288 Holtshire Rd.
Orange, MA 01364 - Phone
- (978) 855-7474
- NPI assigned
- Nov 15, 2016
- 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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2300324 | MA | MD | Pediatric Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Registered Nurse | 163WP0200X | RN2300324 | MA | Yes |
Addresses
Primary practice location
288 Holtshire Rd.
Orange, MA 01364
Mailing address
288 Holtshire Rd.
Orange, MA 01364
Phone (978) 855-7474
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110120262 | Other | MA | MASS HEALTH PROVIDER |
Other names
- Mrs. Angela Lee Littlewood
Other providers in Orange, MA
- Marcia Ann Flynn
- Ann Geralyn Forcier
- Rebecca Foskett
- Four Wings Counseling LLC
- Alina Fox
- Morgan Russell Gilmore
- Adesholla Leann Gionet
- Pamela Lottie Gobeille
- Joseph G Gomez Jr.
- William M Grant
All providers in Orange, MA · Pediatric Registered Nurse in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 21, 2022. 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.