Provider Demographics
NPI:1184935264
Name:MAGILL, ANGELA MARIE (NP-PSYCHIATRY PLLC)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:MARIE
Last Name:MAGILL
Suffix:
Gender:F
Credentials:NP-PSYCHIATRY PLLC
Other - Prefix:
Other - First Name:ANGELA
Other - Middle Name:M
Other - Last Name:MAGILL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NP-PSYCHIATRY PLLC
Mailing Address - Street 1:12320 MEAHL RD
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:NY
Mailing Address - Zip Code:14001-9426
Mailing Address - Country:US
Mailing Address - Phone:716-634-3838
Mailing Address - Fax:716-634-3833
Practice Address - Street 1:12320 MEAHL RD
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:NY
Practice Address - Zip Code:14001-9426
Practice Address - Country:US
Practice Address - Phone:716-634-3838
Practice Address - Fax:716-634-3833
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-23
Last Update Date:2024-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF4012881363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health