Provider Demographics
NPI:1689453698
Name:DANGELO ATTARD, ANNA
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:DANGELO ATTARD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16517 W HORSESHOE TRL
Mailing Address - Street 2:
Mailing Address - City:LINDEN
Mailing Address - State:MI
Mailing Address - Zip Code:48451-8938
Mailing Address - Country:US
Mailing Address - Phone:810-412-7270
Mailing Address - Fax:
Practice Address - Street 1:16517 W HORSESHOE TRL
Practice Address - Street 2:
Practice Address - City:LINDEN
Practice Address - State:MI
Practice Address - Zip Code:48451-8938
Practice Address - Country:US
Practice Address - Phone:810-412-7270
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-28
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health