Provider Demographics
NPI:1952394975
Name:DEANGELIS CURREY, NANCY CAROL (MD)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:CAROL
Last Name:DEANGELIS CURREY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:CAROL
Other - Middle Name:D
Other - Last Name:CURREY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:8346 TRAFORD LN
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22152-1600
Mailing Address - Country:US
Mailing Address - Phone:703-451-7505
Mailing Address - Fax:703-451-6936
Practice Address - Street 1:8346 TRAFORD LN
Practice Address - Street 2:RM 101
Practice Address - City:SPRINGFIELD
Practice Address - State:VA
Practice Address - Zip Code:22152-1600
Practice Address - Country:US
Practice Address - Phone:703-451-7505
Practice Address - Fax:703-451-6936
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-24
Last Update Date:2011-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA010105790207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
276821OtherMAMSI
695908OtherUNICARE
9226950OtherPHCS
86888OtherUNICARE
2283611OtherUHC
385292OtherANTHEM
7629403OtherAETNA
276821OtherGEHA
F953-0001OtherBCBS
49123Medicare ID - Type Unspecified
86888OtherUNICARE