Provider Demographics
NPI:1467794198
Name:REINO, ANGELA ROSE (PA-C)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:ROSE
Last Name:REINO
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:ANGELA
Other - Middle Name:ROSE
Other - Last Name:ADAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:740 E STATE ST
Mailing Address - Street 2:SHARON REGIONAL PHYSICIAN SERVICES
Mailing Address - City:SHARON
Mailing Address - State:PA
Mailing Address - Zip Code:16146-3328
Mailing Address - Country:US
Mailing Address - Phone:724-983-5584
Mailing Address - Fax:724-983-5611
Practice Address - Street 1:2999 PRESIDENTIAL BLVD
Practice Address - Street 2:SHARON CARDIOLOGY SPECIALISTS
Practice Address - City:HERMITAGE
Practice Address - State:PA
Practice Address - Zip Code:16148
Practice Address - Country:US
Practice Address - Phone:724-983-1800
Practice Address - Fax:724-983-8252
Is Sole Proprietor?:No
Enumeration Date:2013-03-20
Last Update Date:2013-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA055957363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical