Provider Demographics
NPI:1184293177
Name:LUNCZYNSKI, ANGELA MARIE (MSN, FNP-BC)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:MARIE
Last Name:LUNCZYNSKI
Suffix:
Gender:F
Credentials:MSN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:127 HIGH ST APT 3
Mailing Address - Street 2:
Mailing Address - City:CHESTERTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21620-1578
Mailing Address - Country:US
Mailing Address - Phone:410-708-4414
Mailing Address - Fax:
Practice Address - Street 1:127 HIGH ST APT 3
Practice Address - Street 2:
Practice Address - City:CHESTERTOWN
Practice Address - State:MD
Practice Address - Zip Code:21620-1578
Practice Address - Country:US
Practice Address - Phone:410-708-4414
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-23
Last Update Date:2021-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR135145363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care