Angioli, Carolyn Mars

Angioli, Carolyn Mars is an individual health care provider with primary practice located at 12950 Highland Crossing Drive Ste. H, Herndon VA 20171. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Angioli, Carolyn Mars can be contacted via phone (703) 860-4200.

Contact Information

Primary practice address
12950 Highland Crossing Drive Ste. H Herndon VA 20171
Phone: (703) 860-4200
Fax: (703) 860-1528
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 0017001234 Virginia

Profile Details

NPI number 1134180433
LBN Legal business name Angioli, Carolyn Mars
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2006
Last updated Mar 4th, 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 1134180433 NPPES
Virginia MEDICAID 007788452

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