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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215993555 NPPES
Wisconsin MEDICAID 41256100

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