Provider Demographics
NPI:1740902568
Name:ANGE, MERICA MARIE (APRN)
Entity type:Individual
Prefix:MRS
First Name:MERICA
Middle Name:MARIE
Last Name:ANGE
Suffix:
Gender:F
Credentials:APRN
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Mailing Address - Street 1:PO BOX 947407
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30394-7407
Mailing Address - Country:US
Mailing Address - Phone:941-917-2600
Mailing Address - Fax:941-917-7884
Practice Address - Street 1:1852 HILLVIEW ST STE 301
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-3638
Practice Address - Country:US
Practice Address - Phone:941-262-0400
Practice Address - Fax:941-262-0410
Is Sole Proprietor?:No
Enumeration Date:2022-09-19
Last Update Date:2023-02-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FL11020512363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily