Angelo, Shauntara Ann

Angelo, Shauntara Ann is an individual health care provider with primary practice located at 361 Alexander Spring Rd , Carlisle PA 17015-6940. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Angelo, Shauntara Ann can be contacted via phone (717) 960-3414.

Contact Information

Primary practice address
361 Alexander Spring Rd Carlisle PA 17015-6940
Phone: (717) 960-3414
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X SP018809 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X SP018809 Pennsylvania

Profile Details

NPI number 1225520661
LBN Legal business name Angelo, Shauntara Ann
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2018
Last updated Feb 28th, 2024 - about 7 months 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 1225520661 NPPES
Pennsylvania Other SP018809 CRNP LICENSE

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