Provider Demographics
NPI:1033740733
Name:CARAMELA, ANGELA LYNN (LPN)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:LYNN
Last Name:CARAMELA
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 PICKET ROW
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31410-2527
Mailing Address - Country:US
Mailing Address - Phone:912-441-7625
Mailing Address - Fax:
Practice Address - Street 1:114 PICKET ROW
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31410-2527
Practice Address - Country:US
Practice Address - Phone:912-441-7625
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-31
Last Update Date:2020-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPN091569164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse