Provider Demographics
NPI:1043597941
Name:ANGLADE, MARIE J (RN)
Entity Type:Individual
Prefix:MS
First Name:MARIE
Middle Name:J
Last Name:ANGLADE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
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Mailing Address - Street 1:7105 SOCIETY DR
Mailing Address - Street 2:
Mailing Address - City:CLAYMONT
Mailing Address - State:DE
Mailing Address - Zip Code:19703-1773
Mailing Address - Country:US
Mailing Address - Phone:302-746-7389
Mailing Address - Fax:302-746-7465
Practice Address - Street 1:141A MANORHAVEN BLVD
Practice Address - Street 2:
Practice Address - City:PORT WASHINGTON
Practice Address - State:NY
Practice Address - Zip Code:11050-1523
Practice Address - Country:US
Practice Address - Phone:516-570-0662
Practice Address - Fax:516-708-9539
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-07
Last Update Date:2014-03-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY388055163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse