Angela K Ianitelli in Clinton Township - Physician Assistant

Angela K Ianitelli - NPI 1457418154

Angela K Ianitelli is a Physician Assistant in Clinton Township, Michigan. Angela K Ianitelli practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Angela K Ianitelli is 1457418154. The last update date is 2023-07-18.

Angela K Ianitelli's current location address is 16151 19 Mile Rd Ste 215, Clinton Township, Michigan. You can contact this provider via phone number 5862632300. The mailing address for Angela K Ianitelli is 16151 19 Mile Rd Ste 215, Clinton Township, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Angela K Ianitelli
Address 16151 19 Mile Rd Ste 215, Clinton Township, Michigan
Phone Number 5862632300
Fax Number
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1457418154
Provider Enumeration Date 2007-01-02
Last Updated Date 2023-07-18

Provider Mailing Address Detail

Address 16151 19 Mile Rd Ste 215
City Clinton Township
State Michigan (MI)
Post Code 480381157
Phone Number 5862632300
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 5601004740
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

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FAQs about Angela K Ianitelli

What is the Angela K Ianitelli's 1457418154?

The Angela K Ianitelli's NPI (National Provider Identifier) Number is 1457418154. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Where is the Angela K Ianitelli located?

The Angela K Ianitelli is located at 16151 19 Mile Rd Ste 215, Clinton Township, MI 480381157.

What is the area of specialization for Angela K Ianitelli, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Angela K Ianitelli is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.

On what date did the Angela K Ianitelli receive the assignment of its 1457418154 from the Centers for Medicare & Medicaid Services?

The Angela K Ianitelli was issued its 1457418154 by the Centers for Medicare & Medicaid Services on 2007-01-02.

When was the information pertaining to Angela K Ianitelli most recently updated or revised?

The details related to Angela K Ianitelli, including its address, specialty, and other relevant information, were last updated or revised on 2023-07-18.

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