Paul, Angela M
Paul, Angela M is an sole proprietor health care provider with primary practice located at 10000 W Blue Mound Rd , Wauwatosa WI 53226-4321. 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. Paul, Angela M can be contacted via phone (414) 778-7957.Contact Information
Primary practice address
10000 W Blue Mound Rd
Wauwatosa WI 53226-4321
Phone: (414) 778-7957
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 2578033 | Wisconsin |
Profile Details
| NPI number | 1215993555 |
|---|---|
| LBN Legal business name | Paul, Angela M |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 25th, 2006 |
| Last updated | Jul 15th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215993555 | NPPES |
| Wisconsin | MEDICAID | 41256100 |
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