Provider Demographics
NPI:1417384355
Name:SCHIFANO, ANGELA VANA (LPN)
Entity Type:Individual
Prefix:MISS
First Name:ANGELA
Middle Name:VANA
Last Name:SCHIFANO
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1045 ESCARPMENT DR
Mailing Address - Street 2:
Mailing Address - City:LEWISTON
Mailing Address - State:NY
Mailing Address - Zip Code:14092-2061
Mailing Address - Country:US
Mailing Address - Phone:716-417-6801
Mailing Address - Fax:
Practice Address - Street 1:1045 ESCARPMENT DR
Practice Address - Street 2:
Practice Address - City:LEWISTON
Practice Address - State:NY
Practice Address - Zip Code:14092-2061
Practice Address - Country:US
Practice Address - Phone:716-417-6801
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-10
Last Update Date:2013-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY314503-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse