Provider Demographics
NPI:1841680915
Name:NOVAS, ANGELA LEAH (CRNP)
Entity type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:LEAH
Last Name:NOVAS
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:19745 EXECUTIVE PARK CIR
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20874-2642
Mailing Address - Country:US
Mailing Address - Phone:301-946-6623
Mailing Address - Fax:301-946-1107
Practice Address - Street 1:19745 EXECUTIVE PARK CIRCLE
Practice Address - Street 2:ADVANCED MEDICAL CARE
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20874
Practice Address - Country:US
Practice Address - Phone:301-540-9447
Practice Address - Fax:301-946-1107
Is Sole Proprietor?:No
Enumeration Date:2015-01-28
Last Update Date:2015-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR186282363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health