Provider Demographics
NPI:1396193991
Name:DIXON, ANGELINA MAGRENI
Entity Type:Individual
Prefix:DR
First Name:ANGELINA
Middle Name:MAGRENI
Last Name:DIXON
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 1:7918 HICKORY ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70118-4129
Mailing Address - Country:US
Mailing Address - Phone:724-809-1879
Mailing Address - Fax:
Practice Address - Street 1:1430 TULANE AVE # SL-50
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70112-2632
Practice Address - Country:US
Practice Address - Phone:504-988-1332
Practice Address - Fax:504-988-3971
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-25
Last Update Date:2016-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program