Bacon, Angela Marie

Bacon, Angela Marie is an sole proprietor health care provider with primary practice located at 11375 Cortez Blvd , Brooksville FL 34613-5409. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Bacon, Angela Marie can be contacted via phone (352) 596-6632.

Contact Information

Primary practice address
11375 Cortez Blvd Brooksville FL 34613-5409
Phone: (352) 596-6632
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 139305 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN593231 Pennsylvania

Profile Details

NPI number 1235873449
LBN Legal business name Bacon, Angela Marie
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 25th, 2022
Last updated Sep 29th, 2023 - about 2 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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