Look up the most recent NPI and PECOS records

Virginia Lorraine Angle

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

4501 N Davis Hwy Ste C, Pensacola, FL 32503-2724

PECOS Enrollment

This provider is enrolled in PECOS as VIRGINIA ANGLE.

Based on the most recent information from CMS, provider Virginia Lorraine Angle is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1821395559
Provider Type
Individual
Full Name
Angle, Virginia Lorraine
Credential
ARNP

Gender
Female
Sole Proprietor
No
Enumeration Date
2/15/2011
Last Updated
5/16/2016

Contact Information

Practice Location

4501 N Davis Hwy Ste C, Pensacola, FL 32503-2724

(850) 416-4960

(850) 416-4961

Mailing Location

PO Box 2699, Attn: Shmg/Hpe, Pensacola, FL 32513-2699

(850) 416-4960

(850) 416-4961

Provider Taxonomies

Code	Description	License
Code 363L00000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License ARNP9372812 Florida
Code 363LF0000X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 1-069585 Alabama

Virginia Lorraine Angle

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Mollere, Gail Elizabeth

Hoyt, Samantha

Duffey-Warner, Tanya

Barnhill, Kimberly Ann

Leroy, Sherry

Wyrosdick, Rebekah Leigh

Ncube, Itumeleng M

Tolbert, Sean Ashley

Gordon, Kaleigh

Gapasin, Lucresia