Provider Demographics
NPI:1891241345
Name:MINEO, ANGELA MICHELLE (APRN-C)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:MICHELLE
Last Name:MINEO
Suffix:
Gender:F
Credentials:APRN-C
Other - Prefix:
Other - First Name:ANGELA
Other - Middle Name:
Other - Last Name:WINN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:19211 N DALE MABRY HWY
Mailing Address - Street 2:
Mailing Address - City:LUTZ
Mailing Address - State:FL
Mailing Address - Zip Code:33548-5067
Mailing Address - Country:US
Mailing Address - Phone:813-776-5751
Mailing Address - Fax:813-336-8821
Practice Address - Street 1:19211 N DALE MABRY HWY
Practice Address - Street 2:
Practice Address - City:LUTZ
Practice Address - State:FL
Practice Address - Zip Code:33548-5067
Practice Address - Country:US
Practice Address - Phone:813-776-5751
Practice Address - Fax:813-336-8821
Is Sole Proprietor?:No
Enumeration Date:2016-08-25
Last Update Date:2023-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9351348363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology