Provider Demographics
NPI:1295377752
Name:GIULIANI, ANGELICA ROSE
Entity Type:Individual
Prefix:
First Name:ANGELICA
Middle Name:ROSE
Last Name:GIULIANI
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 1:15605 STRAUGHN DR
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707-2658
Mailing Address - Country:US
Mailing Address - Phone:301-741-8254
Mailing Address - Fax:
Practice Address - Street 1:15605 STRAUGHN DR
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-2658
Practice Address - Country:US
Practice Address - Phone:301-741-8254
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-16
Last Update Date:2019-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant