Provider Demographics
NPI:1457383630
Name:MARCHESANI, ANGELA F (CRNP)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:F
Last Name:MARCHESANI
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 PENNS TRL
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-1812
Mailing Address - Country:US
Mailing Address - Phone:215-504-1761
Mailing Address - Fax:215-504-1721
Practice Address - Street 1:3 PENNS TRL
Practice Address - Street 2:
Practice Address - City:NEWTOWN
Practice Address - State:PA
Practice Address - Zip Code:18940-1812
Practice Address - Country:US
Practice Address - Phone:215-504-1761
Practice Address - Fax:215-504-1721
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2021-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN278854L163W00000X
PATP004359C363LA2200X
PATP005162B363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
02225657FMedicare ID - Type Unspecified
S69041Medicare UPIN