Provider Demographics
NPI:1639729957
Name:ANGELUCCI, ANN MARIE (RN)
Entity Type:Individual
Prefix:MS
First Name:ANN MARIE
Middle Name:
Last Name:ANGELUCCI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:212 HYACINTH DR N
Mailing Address - Street 2:
Mailing Address - City:YARDLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19067-6015
Mailing Address - Country:US
Mailing Address - Phone:267-393-6202
Mailing Address - Fax:
Practice Address - Street 1:400 MIDDLETOWN BLVD STE 108
Practice Address - Street 2:
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-1819
Practice Address - Country:US
Practice Address - Phone:215-891-8485
Practice Address - Fax:215-891-8462
Is Sole Proprietor?:No
Enumeration Date:2019-09-18
Last Update Date:2019-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN279950L163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse