Provider Demographics
NPI:1992107072
Name:CURTIS, ANGELA ELLANA (LPN)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:ELLANA
Last Name:CURTIS
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:MS
Other - First Name:ANGELA
Other - Middle Name:ELLANA
Other - Last Name:CURTIS-SCOTT, SAINT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPN
Mailing Address - Street 1:320 LITTLETON DR
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:SC
Mailing Address - Zip Code:29676-3701
Mailing Address - Country:US
Mailing Address - Phone:864-965-8265
Mailing Address - Fax:
Practice Address - Street 1:320 LITTLETON DR
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:SC
Practice Address - Zip Code:29676-3701
Practice Address - Country:US
Practice Address - Phone:864-965-8265
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-21
Last Update Date:2021-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC52789164W00000X
MI4703106271164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse