Provider Demographics
NPI:1003683186
Name:ENGEL, ALMA
Entity type:Individual
Prefix:MRS
First Name:ALMA
Middle Name:
Last Name:ENGEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 BRIGHTON KNOLLS CT
Mailing Address - Street 2:
Mailing Address - City:BRINKLOW
Mailing Address - State:MD
Mailing Address - Zip Code:20862-9711
Mailing Address - Country:US
Mailing Address - Phone:240-855-7225
Mailing Address - Fax:
Practice Address - Street 1:3 BRIGHTON KNOLLS CT
Practice Address - Street 2:
Practice Address - City:BRINKLOW
Practice Address - State:MD
Practice Address - Zip Code:20862-9711
Practice Address - Country:US
Practice Address - Phone:240-855-7225
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-07
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDC0009242363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedicalGroup - Single Specialty