Provider Demographics
NPI:1588363519
Name:ANGUS, PATRICIA LYNN
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:LYNN
Last Name:ANGUS
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 1:100 SPRING RUN DR
Mailing Address - Street 2:
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-3342
Mailing Address - Country:US
Mailing Address - Phone:412-996-5104
Mailing Address - Fax:877-236-7408
Practice Address - Street 1:100 SPRING RUN DR
Practice Address - Street 2:
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-3342
Practice Address - Country:US
Practice Address - Phone:412-996-5104
Practice Address - Fax:877-236-7408
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-28
Last Update Date:2023-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA350873L163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management