Provider Demographics
NPI:1265414056
Name:DALUSUNG-ANGOSTA, ALONA (APRN)
Entity type:Individual
Prefix:
First Name:ALONA
Middle Name:
Last Name:DALUSUNG-ANGOSTA
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:DR
Other - First Name:ALONA
Other - Middle Name:
Other - Last Name:ANGOSTA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 360541
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15251-6541
Mailing Address - Country:US
Mailing Address - Phone:972-525-9900
Mailing Address - Fax:469-333-7988
Practice Address - Street 1:1020 N COLLINS ST
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76011-6134
Practice Address - Country:US
Practice Address - Phone:972-525-9900
Practice Address - Fax:469-333-7988
Is Sole Proprietor?:No
Enumeration Date:2005-11-17
Last Update Date:2023-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVAPN000619363LF0000X
TX1070149363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV003102228Medicaid
NV002402228Medicaid
NV101737Medicare ID - Type UnspecifiedGROUP
NV002402228Medicaid
NV102061Medicare ID - Type UnspecifiedINDIVIDUAL