Provider Demographics
NPI:1558959122
Name:LOVELESS, ANGELA COX (NP-C)
Entity Type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:COX
Last Name:LOVELESS
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1030 MAIN ST S
Mailing Address - Street 2:
Mailing Address - City:WEDOWEE
Mailing Address - State:AL
Mailing Address - Zip Code:36278-7440
Mailing Address - Country:US
Mailing Address - Phone:256-357-2188
Mailing Address - Fax:256-357-2023
Practice Address - Street 1:1030 MAIN ST S
Practice Address - Street 2:
Practice Address - City:WEDOWEE
Practice Address - State:AL
Practice Address - Zip Code:36278-7440
Practice Address - Country:US
Practice Address - Phone:256-357-2188
Practice Address - Fax:256-357-2023
Is Sole Proprietor?:No
Enumeration Date:2021-01-08
Last Update Date:2021-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-091962363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily