Provider Demographics
NPI:1700990264
Name:MURNO, ANGELA MARIE (APRN BC)
Entity Type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:MARIE
Last Name:MURNO
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Gender:F
Credentials:APRN BC
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Mailing Address - Street 1:2139 SILAS DEANE HWY
Mailing Address - Street 2:
Mailing Address - City:ROCKY HILL
Mailing Address - State:CT
Mailing Address - Zip Code:06067-2336
Mailing Address - Country:US
Mailing Address - Phone:860-257-4131
Mailing Address - Fax:860-257-4519
Practice Address - Street 1:245 ALVORD PARK RD
Practice Address - Street 2:BLDG B LITCHFIELD COUNTY GASTROENTEROLOGY ASSOC LLC
Practice Address - City:TORRINGTON
Practice Address - State:CT
Practice Address - Zip Code:06790-3493
Practice Address - Country:US
Practice Address - Phone:860-496-0455
Practice Address - Fax:860-496-2793
Is Sole Proprietor?:No
Enumeration Date:2006-08-19
Last Update Date:2015-02-10
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Provider Licenses
StateLicense IDTaxonomies
CT003064207RG0100X, 363L00000X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT004248177Medicaid
CTD400166427Medicare PIN
CT004248177Medicaid