Provider Demographics
NPI:1154117638
Name:RAPIDS, ANGELA
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:
Last Name:RAPIDS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25407 LAFAYETTE DR
Mailing Address - Street 2:
Mailing Address - City:RHOADESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22542-8509
Mailing Address - Country:US
Mailing Address - Phone:703-943-9715
Mailing Address - Fax:
Practice Address - Street 1:25407 LAFAYETTE DR
Practice Address - Street 2:
Practice Address - City:RHOADESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22542-8509
Practice Address - Country:US
Practice Address - Phone:703-943-9715
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-19
Last Update Date:2025-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024188827364SG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SG0600XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistGerontology