Angelino, Alyssa Renee

Angelino, Alyssa Renee is an individual health care provider with primary practice located at 200 Bowman Dr Ste E365 , Voorhees NJ 08043-9639. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Angelino, Alyssa Renee can be contacted via phone (856) 247-7295.

Contact Information

Primary practice address
200 Bowman Dr Ste E365 Voorhees NJ 08043-9639
Phone: (856) 247-7295
Fax: (856) 247-7118
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 26N011750100 New Jersey

Profile Details

NPI number 1861602070
LBN Legal business name Angelino, Alyssa Renee
Credentials NURSE PRACTIONER
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2007
Last updated Sep 15th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861602070 NPPES
New Jersey MEDICAID 0401129

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