Provider Demographics
NPI:1740837467
Name:SETLIFF, ANGELA BAISE (CRT,RCP)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:BAISE
Last Name:SETLIFF
Suffix:
Gender:F
Credentials:CRT,RCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1897 STONE MILL RD
Mailing Address - Street 2:
Mailing Address - City:HURT
Mailing Address - State:VA
Mailing Address - Zip Code:24563-3633
Mailing Address - Country:US
Mailing Address - Phone:434-251-7113
Mailing Address - Fax:
Practice Address - Street 1:1897 STONE MILL RD
Practice Address - Street 2:
Practice Address - City:HURT
Practice Address - State:VA
Practice Address - Zip Code:24563-3633
Practice Address - Country:US
Practice Address - Phone:434-251-7113
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-19
Last Update Date:2019-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0117005799227800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Certified