Provider Demographics
NPI:1427586239
Name:SINON, ANGELA L (FNP)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:L
Last Name:SINON
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:ANGELA
Other - Middle Name:L
Other - Last Name:PURCELL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3 CHARLES ST STE 1
Mailing Address - Street 2:
Mailing Address - City:PLEASANT VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:12569-7744
Mailing Address - Country:US
Mailing Address - Phone:845-635-2650
Mailing Address - Fax:
Practice Address - Street 1:3 CHARLES ST STE 1
Practice Address - Street 2:
Practice Address - City:PLEASANT VALLEY
Practice Address - State:NY
Practice Address - Zip Code:12569-7744
Practice Address - Country:US
Practice Address - Phone:845-635-2650
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-24
Last Update Date:2017-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY341779363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily