Provider Demographics
NPI:1689412355
Name:ANGELOTTI, PATRICIA MARIE (MSN, FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:MARIE
Last Name:ANGELOTTI
Suffix:
Gender:F
Credentials:MSN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:316 WESTMONT AVE
Mailing Address - Street 2:
Mailing Address - City:HADDON TWP
Mailing Address - State:NJ
Mailing Address - Zip Code:08108-3527
Mailing Address - Country:US
Mailing Address - Phone:856-745-6829
Mailing Address - Fax:
Practice Address - Street 1:130 LAKEHURST RD STE A
Practice Address - Street 2:
Practice Address - City:BROWNS MILLS
Practice Address - State:NJ
Practice Address - Zip Code:08015-6057
Practice Address - Country:US
Practice Address - Phone:609-893-3133
Practice Address - Fax:609-893-7972
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-17
Last Update Date:2024-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ15121300363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily