Provider Demographics
NPI:1699130591
Name:HOPKINS, ANGELIA (RN, MSN)
Entity type:Individual
Prefix:MRS
First Name:ANGELIA
Middle Name:
Last Name:HOPKINS
Suffix:
Gender:F
Credentials:RN, MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 495
Mailing Address - Street 2:
Mailing Address - City:BRADSHAW
Mailing Address - State:WV
Mailing Address - Zip Code:24817-0495
Mailing Address - Country:US
Mailing Address - Phone:276-598-4448
Mailing Address - Fax:276-598-4635
Practice Address - Street 1:460 FRONT ST
Practice Address - Street 2:
Practice Address - City:RICHLANDS
Practice Address - State:VA
Practice Address - Zip Code:24641-3065
Practice Address - Country:US
Practice Address - Phone:276-598-4448
Practice Address - Fax:276-598-4635
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-18
Last Update Date:2020-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVAPRN64472NP363LF0000X
VA0024178502363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily