Angela Marie Bacon, CRNA
Nurse Anesthetist, Certified Registered in Wexford, PA. Individual provider (NPI-1).
NPI number1235873449
StatusActive
Last updated in NPPESJan 7, 2025
Details
- NPI
- 1235873449
- Entity type
- Individual (NPI-1)
- Name
- Angela Marie Bacon
- Credential
- CRNA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 25, 2022
- Certification date
- Jan 7, 2025
- Last updated
- Jan 7, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN593231 | PA | Yes |
| 367500000X | Nurse Anesthetist, Certified Registered | 139305 | FL |
Practice location
12351 Perry HwyWexford, PA 15090-8344
Phone 412-359-6581 · Fax 412-359-3483
Mailing address
3205 Grand Ave Apt 408Pinellas Park, FL 33782-6145
Phone 412-908-3972
Other practice locations
11375 Cortez Blvd
Brooksville, FL 34613-5409
Brooksville, FL 34613-5409
Phone 352-596-6632
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All 29 Certified Registered Nurse Anesthetist providers in Wexford · All 1,906 providers in Wexford
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