Provider Demographics
NPI:1265842884
Name:HORMAN, ANGELA (RN, IBCLC)
Entity Type:Individual
Prefix:MS
First Name:ANGELA
Middle Name:
Last Name:HORMAN
Suffix:
Gender:F
Credentials:RN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:318 STONEWALL RD
Mailing Address - Street 2:
Mailing Address - City:CATONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-5445
Mailing Address - Country:US
Mailing Address - Phone:410-788-8389
Mailing Address - Fax:
Practice Address - Street 1:318 STONEWALL RD
Practice Address - Street 2:
Practice Address - City:CATONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21228-5445
Practice Address - Country:US
Practice Address - Phone:410-788-8389
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-05
Last Update Date:2014-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR172207163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant