D'Angelo, Andrea

D'Angelo, Andrea is an individual health care provider with primary practice located at 1100 Bergslien St , Baldwin WI 54002-2600. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. D'Angelo, Andrea can be contacted via phone (715) 684-1111.

Contact Information

Primary practice address
1100 Bergslien St Baldwin WI 54002-2600
Phone: (715) 684-1111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3255-33 Wisconsin

Profile Details

NPI number 1154514925
LBN Legal business name D'Angelo, Andrea
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2007
Last updated Jan 24th, 2024 - about 10 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 1154514925 NPPES
Wisconsin MEDICAID 36042100

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