Provider Demographics
NPI:1588183941
Name:ANGLIN, ASHANTI CATRICE (REGISTERED NURSE)
Entity Type:Individual
Prefix:MS
First Name:ASHANTI
Middle Name:CATRICE
Last Name:ANGLIN
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4352 N 26TH ST
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53209-6657
Mailing Address - Country:US
Mailing Address - Phone:414-226-6835
Mailing Address - Fax:414-226-6835
Practice Address - Street 1:4352 N 26TH ST
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53209-6657
Practice Address - Country:US
Practice Address - Phone:414-226-6835
Practice Address - Fax:414-226-6835
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-16
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI200192-30163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse