Provider Demographics
NPI:1295013274
Name:MEAD, ANGELINA MARIE
Entity Type:Individual
Prefix:
First Name:ANGELINA
Middle Name:MARIE
Last Name:MEAD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10550 QUIVIRA RD
Mailing Address - Street 2:STE. 510
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66215-2306
Mailing Address - Country:US
Mailing Address - Phone:913-894-9015
Mailing Address - Fax:
Practice Address - Street 1:10550 QUIVIRA RD
Practice Address - Street 2:STE. 510
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66215-2306
Practice Address - Country:US
Practice Address - Phone:913-894-9015
Practice Address - Fax:913-894-9398
Is Sole Proprietor?:No
Enumeration Date:2011-07-25
Last Update Date:2022-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical