Provider Demographics
NPI:1427674944
Name:MCLAUGHLIN, ANGELA ADELLE (NP-C)
Entity type:Individual
Prefix:MS
First Name:ANGELA
Middle Name:ADELLE
Last Name:MCLAUGHLIN
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7606 WINFIELD RD
Mailing Address - Street 2:
Mailing Address - City:APPLING
Mailing Address - State:GA
Mailing Address - Zip Code:30802-2619
Mailing Address - Country:US
Mailing Address - Phone:706-829-3000
Mailing Address - Fax:
Practice Address - Street 1:7606 WINFIELD RD
Practice Address - Street 2:
Practice Address - City:APPLING
Practice Address - State:GA
Practice Address - Zip Code:30802-2619
Practice Address - Country:US
Practice Address - Phone:706-829-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-20
Last Update Date:2020-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN145153363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily