ANGEL WASSON (NPI# 1982144242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982144242 |
| Entity Type | Individual |
| Full Name | ANGEL WASSON |
| Credential | FNP-BC |
| Practice Address |
4647 Manatee Ave W Bradenton FL 34209-3816 |
| Mailing Address |
367 S. Gulph Rd Attn: Ipm Credentialing King of Prussia PA 19406-3121 |
| Practice Telephone | 9417455999 |
| Practice Fax Number | 9417453555 |
| Mailing Telephone | 9417455999 |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2018-10-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
71007719A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
9280196 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1684 Bush Ln, Crawfordsville, IN 479333364 | 7653659500 | |
| 6272 Lake Osprey Dr, Lakewood Ranch, FL 342408425 | 9419072800 | 9419079434 |
| 9908 Sr 64 East, Bradenton, FL 342125303 | 9417478600 | 9417495915 |
| Street Address |
4647 MANATEE AVE W |
| City | BRADENTON |
| State | FL |
| Zip Code | 34209-3816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346271699 | Asha Munshi | Family Medicine | 4647 Manatee Ave W, Bradenton, FL 34209-3816 | 2006-07-05 |
| 1477174456 | Manatee Urgent Care LLC | Clinic/Center | 4647 Manatee Ave W, Bradenton, FL 34209-3816 | 2020-05-01 |
| 1881240273 | Marilyn Leann Waters | Nurse Practitioner | 4647 Manatee Ave W, Bradenton, FL 34209-3816 | 2019-08-13 |
| 1831654771 | Manatee Physician Alliance, LLC | Nurse Practitioner | 4647 Manatee Ave W, Bradenton, FL 34209-3816 | 2019-02-05 |
| 1689148306 | Victoria Crittenden | Physician Assistant | 4647 Manatee Ave W, Bradenton, FL 34209-3816 | 2019-01-15 |
| 1194120535 | Lucas W Maliwacki | Physician Assistant | 4647 Manatee Ave W, Bradenton, FL 34209-3816 | 2014-10-28 |
| 1437595782 | Guy Guimond | Physician Assistant | 4647 Manatee Ave W, Bradenton, FL 34209 | 2013-05-14 |
| 1396997532 | Lakewood Ranch Urgent Care, Pa | Clinic/Center | 4647 Manatee Ave W, Bradenton, FL 34209-3849 | 2008-10-21 |
| 1154513364 | Michael John Austen | Family Medicine | 4647 Manatee Ave W, Bradenton, FL 34209-3816 | 2007-08-11 |
| 1053453878 | Kathleen M Welch-wilson | Family Medicine | 4647 Manatee Ave W, Bradenton, FL 34209-3816 | 2007-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740828029 | Cairn Clinic, LLC | Massage Therapist | 4701 Manatee Ave. West, Bradenton, FL 34209 | 2019-12-17 |
| 1790341782 | Kyle James Van Benschoten | Physical Therapist | Casa Mora Rehabilitation, Bradenton, FL 34209 | 2019-05-15 |
| 1336679117 | Jennifer Rose Patterson | Nurse Practitioner | 7211 6th Ave Nw, Bradenton, FL 34209 | 2017-06-14 |
| 1972872604 | Manatee Diagnostic Center West | Radiology | 2211 60th St West, Bradenton, FL 34209 | 2011-12-27 |
| 1235406646 | Manatee Diagnostic Center,ltd | Radiology | 2301 60th Street Court West, Suite C, Bradenton, FL 34209 | 2011-11-30 |
| 1073830758 | Melissa Anderson | Occupational Therapy Assistant | 5203 12th Ave Drive West, Bradenton, FL 34209 | 2010-04-21 |
| 1205060993 | Margaret Ann Kirkland | Dentist | 2902 59th St. W., Suite V, Bradenton, FL 34209 | 2009-05-08 |
| 1477791028 | Anna Maria Chiropractic Pllc | Chiropractor | 7315 9th Ave N.w., Bradenton, FL 34209 | 2009-02-04 |
| 1174783393 | The Lombardo Home | Assisted Living Facility | 620 71st Street North West, Bradenton, FL 34209 | 2008-06-11 |
| 1407041072 | Allison Jean Kelly | Occupational Therapist | 5949 17th Avenue W, Bradenton, FL 34209 | 2007-09-07 |
| Find all providers in zip 34209 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881208494 | Abby Elizabeth Crews | Nurse Practitioner | 7534, Divot Loop, Bradenton, FL 34202 | 2020-09-01 |
| 1568002459 | South Florida Injury and Convenient Care | Nurse Practitioner | 2601 Manatee Ave W Ste E, Bradenton, FL 34205-4942 | 2020-01-09 |
| 1033758917 | Brooke Ariel Talbert | Nurse Practitioner | 1803 5th St W, Bradenton, FL 34205-8303 | 2019-12-25 |
| 1912550476 | Vilma Rodriguez | Nurse Practitioner | 1200 37th Ave E, Bradenton, FL 34208-4553 | 2019-07-23 |
| 1366008930 | Mary Janell Hostetler | Nurse Practitioner | 11611 Brookside Dr, Bradenton, FL 34211-4525 | 2019-05-19 |
| 1144886177 | Jewel Tartt | Nurse Practitioner | 1001 13th Avenue East, Medical Department, Bradenton, FL 34208-3420 | 2019-05-15 |
| 1336607522 | Katrina Onyx Wilson | Nurse Practitioner | 304 74th Street Ct Nw, Bradenton, FL 34209-2220 | 2019-03-06 |
| 1184193047 | Mary Kathleen Dufek | Nurse Practitioner | 8610 State Road 70 E, Bradenton, FL 34202-3785 | 2018-11-20 |
| 1255840922 | Megan Fallon | Nurse Practitioner | 250 2nd St E Ste 3b, Bradenton, FL 34208-1027 | 2017-09-26 |
| 1639604556 | Jodie Lynn Dodge | Nurse Practitioner | 8614 State Road 70 E Ste 200, Bradenton, FL 34202-3710 | 2017-04-28 |
| Find all providers in BRADENTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.