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Angela Douglas

Registered Nurse, Medical-Surgical in Brooklyn, NY. Individual provider (NPI-1).

NPI number1982116166
StatusActive
Last updated in NPPESOct 28, 2017

Details

NPI
1982116166
Entity type
Individual (NPI-1)
Name
Angela Douglas
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 28, 2017
Last updated
Oct 28, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WM0705X Registered Nurse, Medical-Surgical436104-1NYYes
163WA0400X Registered Nurse, Addiction (Substance Use Disorder)436104-1NY

Practice location

1001 E 55th St
Brooklyn, NY 11234-1701

Phone 347-517-2452

Mailing address

1001 E 55th St
Brooklyn, NY 11234-1701

Phone 347-517-2452

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