Provider Demographics
NPI:1821762410
Name:FRAUMANE, ANGELA (FNP-BC)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:
Last Name:FRAUMANE
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:375 GOLF COURSE RD
Mailing Address - Street 2:
Mailing Address - City:AMSTERDAM
Mailing Address - State:NY
Mailing Address - Zip Code:12010-7506
Mailing Address - Country:US
Mailing Address - Phone:518-212-6090
Mailing Address - Fax:
Practice Address - Street 1:375 GOLF COURSE RD
Practice Address - Street 2:
Practice Address - City:AMSTERDAM
Practice Address - State:NY
Practice Address - Zip Code:12010-7506
Practice Address - Country:US
Practice Address - Phone:518-212-6090
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-06
Last Update Date:2024-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY347988363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily