Angely, Kacie

Angely, Kacie is an sole proprietor health care provider with primary practice located at 4401 Penn Ave , Pittsburgh PA 15224-1334. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, which is considered as her primary health care specialty. Angely, Kacie can be contacted via phone (412) 692-5030.

Contact Information

Primary practice address
4401 Penn Ave Pittsburgh PA 15224-1334
Phone: (412) 692-5030
Fax: (412) 692-6691
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X SP014136 Pennsylvania

Profile Details

NPI number 1205238409
LBN Legal business name Angely, Kacie
Credentials CRNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 18th, 2014
Last updated Oct 8th, 2020 - about 5 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 1205238409 NPPES
Pennsylvania MEDICAID 103419421

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