Elliott, Angela Marie

Elliott, Angela Marie is an individual health care provider with primary practice located at 653-1 W 8Th St Ufjax - Dept. Of Obgyn, Jacksonville FL 32209-6511. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Elliott, Angela Marie can be contacted via phone (904) 244-6667.

Contact Information

Primary practice address
653-1 W 8Th St Ufjax - Dept. Of Obgyn Jacksonville FL 32209-6511
Phone: (904) 244-6667
Fax: (904) 244-3124
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X ARNP9202743 Florida

Profile Details

NPI number 1891132643
LBN Legal business name Elliott, Angela Marie
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2013
Last updated Mar 12th, 2015 - about 10 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 1891132643 NPPES
Georgia MEDICAID 003134464A
Georgia MEDICAID 008955900
Georgia MEDICAID 003134464B

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