Angel Wasson, FNP-BC
Nurse Practitioner, Family in Bradenton, FL. Individual provider (NPI-1).
NPI number1982144242
StatusActive
Last updated in NPPESOct 31, 2018
Details
- NPI
- 1982144242
- Entity type
- Individual (NPI-1)
- Name
- Angel Wasson
- Credential
- FNP-BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 6, 2017
- Last updated
- Oct 31, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 9280196 | FL | Yes |
| 363LF0000X | Nurse Practitioner, Family | 71007719A | IN |
Practice location
4647 Manatee Ave WBradenton, FL 34209-3816
Phone 941-745-5999 · Fax 941-745-3555
Mailing address
367 S. Gulph RdAttn: Ipm Credentialing
King Of Prussia, PA 19406-3121
Phone 941-745-5999
Other practice locations
1684 Bush Ln
Crawfordsville, IN 47933-3364
Crawfordsville, IN 47933-3364
Phone 765-365-9500
9908 Sr 64 East
Bradenton, FL 34212-5303
Bradenton, FL 34212-5303
Phone 941-747-8600 · Fax 941-749-5915
6272 Lake Osprey Dr
Lakewood Ranch, FL 34240-8425
Lakewood Ranch, FL 34240-8425
Phone 941-907-2800 · Fax 941-907-9434
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