Provider Demographics
NPI:1013749506
Name:EPAGGELIA LLC
Entity type:Organization
Organization Name:EPAGGELIA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANNECIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BARRIERE
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP-BC
Authorized Official - Phone:908-249-5278
Mailing Address - Street 1:2 CREST DR
Mailing Address - Street 2:
Mailing Address - City:LONG VALLEY
Mailing Address - State:NJ
Mailing Address - Zip Code:07853-3231
Mailing Address - Country:US
Mailing Address - Phone:908-249-5278
Mailing Address - Fax:
Practice Address - Street 1:2 CREST DR
Practice Address - Street 2:
Practice Address - City:LONG VALLEY
Practice Address - State:NJ
Practice Address - Zip Code:07853-3231
Practice Address - Country:US
Practice Address - Phone:908-249-5278
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-14
Last Update Date:2024-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty