Provider Demographics
NPI:1922290139
Name:MALIK, ANGELA (RN)
Entity Type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:
Last Name:MALIK
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:PSC 817 BOX 2520
Mailing Address - Street 2:
Mailing Address - City:FPO
Mailing Address - State:AE
Mailing Address - Zip Code:09622
Mailing Address - Country:US
Mailing Address - Phone:205-533-7928
Mailing Address - Fax:
Practice Address - Street 1:PSC 817 BOX 2520
Practice Address - Street 2:
Practice Address - City:FPO
Practice Address - State:AE
Practice Address - Zip Code:09622
Practice Address - Country:US
Practice Address - Phone:205-533-7928
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-11
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-078751286500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes286500000XHospitalsMilitary Hospital