Provider Demographics
NPI:1700689122
Name:PERRY, ANGELINA GABRIELLE
Entity type:Individual
Prefix:
First Name:ANGELINA
Middle Name:GABRIELLE
Last Name:PERRY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1411 N 70TH AVE
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68132-1042
Mailing Address - Country:US
Mailing Address - Phone:402-594-9738
Mailing Address - Fax:
Practice Address - Street 1:5480 N 90TH ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68134-1804
Practice Address - Country:US
Practice Address - Phone:531-215-6288
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-31
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula