Provider Demographics
NPI:1023817194
Name:BRIGHAM, ANGELIA (APRN)
Entity type:Individual
Prefix:
First Name:ANGELIA
Middle Name:
Last Name:BRIGHAM
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:ANGELIA
Other - Middle Name:
Other - Last Name:CRANFORD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:4241 RICE RD
Mailing Address - Street 2:
Mailing Address - City:MILTON
Mailing Address - State:FL
Mailing Address - Zip Code:32583-8917
Mailing Address - Country:US
Mailing Address - Phone:850-449-0105
Mailing Address - Fax:
Practice Address - Street 1:1190 E NINE MILE RD
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32514-1651
Practice Address - Country:US
Practice Address - Phone:850-494-4600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-11
Last Update Date:2025-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11038142363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily