Provider Demographics
NPI:1750723870
Name:ANGELILLO, MARGARET D (CRNP)
Entity type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:D
Last Name:ANGELILLO
Suffix:
Gender:F
Credentials:CRNP
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Mailing Address - Street 1:833 PRINCETON AVE SW
Mailing Address - Street 2:POB III, SUITE 200A
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35211-1323
Mailing Address - Country:US
Mailing Address - Phone:205-786-2776
Mailing Address - Fax:205-786-6227
Practice Address - Street 1:833 PRINCETON AVE SW
Practice Address - Street 2:POB III, SUITE 200A
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35211-1323
Practice Address - Country:US
Practice Address - Phone:205-786-2776
Practice Address - Fax:205-786-6227
Is Sole Proprietor?:No
Enumeration Date:2013-07-18
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL1-120580363LA2100X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care