Female

Angelica M. Correa FNP-C

Primary Care Nurse Practitioner in Port St Lucie, FL(View on Map)

Full Name

Angelica Manzolillo Correa FNP-C

NPI Number

1952074189

NPI Type

Individual Provider

Gender

Female

Enumeration Date

07/25/2021

Specialties

(Taxonomies)

Code

363LP2300X

Primary Taxonomy

Yes

Licenses

State

Florida
New York

License Number

11031122
F347464-01

Contact
Information

Purpose

Mailing
Location

Address

1651 SE TIFFANY AVE
1651 SE TIFFANY AVE

City

Port St Lucie
Port St Lucie

State

FL
FL

Postal Code

34952-7564
34952-7564

Country

US
US

Telephone Number

N/A
(772) 398-1800

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/24/2024

Provider Address

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