Provider Demographics
NPI:1710251038
Name:MCKAY, ANGELA CLAIRE (WHNP-BC)
Entity Type:Individual
Prefix:MS
First Name:ANGELA
Middle Name:CLAIRE
Last Name:MCKAY
Suffix:
Gender:F
Credentials:WHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 8168
Mailing Address - Street 2:
Mailing Address - City:WARNER ROBINS
Mailing Address - State:GA
Mailing Address - Zip Code:31095-8168
Mailing Address - Country:US
Mailing Address - Phone:478-333-6901
Mailing Address - Fax:478-333-6907
Practice Address - Street 1:109 OSIGIAN BLVD
Practice Address - Street 2:SUITE 400
Practice Address - City:WARNER ROBINS
Practice Address - State:GA
Practice Address - Zip Code:31088-8922
Practice Address - Country:US
Practice Address - Phone:478-333-6901
Practice Address - Fax:478-333-6907
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-05
Last Update Date:2012-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA162144363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology