Provider Demographics
NPI:1548392228
Name:MAIOLA, ANGELA (RN, CRNP)
Entity Type:Individual
Prefix:MS
First Name:ANGELA
Middle Name:
Last Name:MAIOLA
Suffix:
Gender:F
Credentials:RN, CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:FOT 940
Mailing Address - Street 2:1720 2ND AVE S
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35294-3409
Mailing Address - Country:US
Mailing Address - Phone:205-934-7544
Mailing Address - Fax:205-934-0973
Practice Address - Street 1:FOT 940
Practice Address - Street 2:1720 2ND AVE S
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35294-3409
Practice Address - Country:US
Practice Address - Phone:205-934-7544
Practice Address - Fax:205-934-0973
Is Sole Proprietor?:No
Enumeration Date:2007-03-09
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-061969363L00000X
AL1061969363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51047615OtherBCBS