Provider Demographics
NPI:1760816656
Name:POLLOCK, ANGELA M (FNP)
Entity Type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:M
Last Name:POLLOCK
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:ANGELA
Other - Middle Name:
Other - Last Name:BIDDLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:200 HYGEIA DRIVE, SUITE 2300
Mailing Address - Street 2:CCHS PHYSICIAN CONTRACTING
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-2049
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:100 S. MAIN STREET, SUITE 101
Practice Address - Street 2:SMYRNA HEALTH & WELLNESS CENTER
Practice Address - City:SMYRNA
Practice Address - State:DE
Practice Address - Zip Code:19977-1478
Practice Address - Country:US
Practice Address - Phone:302-659-4444
Practice Address - Fax:302-659-4495
Is Sole Proprietor?:No
Enumeration Date:2013-08-27
Last Update Date:2016-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDAC001185363LF0000X
DELG-0000659363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily