Angela Vermeulen

Individual provider Active NPI Case Management Registered Nurse · Wolcott, NY

NPI 1982019394 · NPPES record last updated Jun 24, 2014

Key facts

NPI
1982019394
Entity type
Individual (NPI type 1)
Primary specialty
Case Management Registered Nurse 163WC0400X
License
22659199 (NY)
Practice address
6254 Lawville Rd
Wolcott, NY 14590-9792
Phone
(315) 483-3849
NPI assigned
Jun 24, 2014
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

State licenses

LicenseStateTypeSpecialty
22659199NYMDCase Management Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X 22659199 NY Yes

Addresses

Primary practice location

6254 Lawville Rd
Wolcott, NY 14590-9792

Mailing address

6254 Lawville Rd
Wolcott, NY 14590-9792
Phone (315) 483-3849

Other providers in Wolcott, NY

All providers in Wolcott, NY · Case Management Registered Nurse in New York

Sources for this page

Verify at the official NPI Registry.