Individual provider · NPI-1

Mary Jucel P Angeles, CRNP

Nurse Practitioner · Wynnewood, PA

NPI number1992318141
StatusActive
Last updated in NPPESAug 27, 2020

Details

NPI
1992318141
Entity type
Individual (NPI-1)
Name
Mary Jucel P Angeles
Credential
CRNP
Sex
Female
Sole proprietor
No
Enumeration date
Aug 27, 2020
Certification date
Aug 27, 2020
Last updated
Aug 27, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse PractitionerSP020019PAYes

Other names

  • Mary Jucel Delacalzada (Former Name)

Practice location

100 E Lancaster Ave Ste 467
Wynnewood, PA 19096-3434

Phone 610-896-7424 · Fax 610-896-6171

Mailing address

100 E Lancaster Ave Ste 467
Wynnewood, PA 19096-3434

Phone 610-896-7424 · Fax 610-896-6171

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