Mrs Shauntara Ann Angelo, CRNP is a
Nurse Practitioner - Pediatrics physician based in Carlisle, Pennsylvania. Mrs Shauntara Ann Angelo is licensed to practice in Pennsylvania (license number SP018809) and her current practice location is 361 Alexander Spring Rd, Carlisle, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at
(717) 960-3414.
NPI number for Mrs Shauntara Ann Angelo is 1225520661 and her current mailing address is 361 Alexander Spring Rd, Carlisle, Pennsylvania. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1225520661.
Physician's Profile
Full Name | Mrs Shauntara Ann Angelo |
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Gender | Female |
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Speciality | Nurse Practitioner - Pediatrics |
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Location | 361 Alexander Spring Rd, Carlisle, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1225520661
- Provider Enumeration Date: 06/01/2018
- Last Update Date: 10/22/2024
Medical Identifiers
Medical identifiers for Mrs Shauntara Ann Angelo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1225520661 | NPI | - | NPPES |
SP018809 | Other | PA | CRNP LICENSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | SP018809 (Pennsylvania) | Secondary |
363LP0200X | Nurse Practitioner - Pediatrics | SP018809 (Pennsylvania) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Shauntara Ann Angelo is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Shauntara Ann Angelo, CRNP 361 Alexander Spring Rd, Carlisle, PA 17015-6940 Ph: (717) 960-1687 | Mrs Shauntara Ann Angelo, CRNP 361 Alexander Spring Rd, Carlisle, PA 17015-6940 Ph: (717) 960-3414 |
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