National Provider Identifier
Marie Mastrangelo, ANP
Marie Mastrangelo, ANP is listed in the NPPES registry with a primary specialty of Adult Health Nurse Practitioner in Orchard Park, NY and a listed phone number of (716) 972-0279.
Profile Overview
- NPI
- 1457005001
- Provider Type
- Individual
- Primary Specialty
- Adult Health Nurse Practitioner
- Enumeration Date
- February 11, 2022
- Last Updated
- February 11, 2022
Practice Location
- 3675 Southwestern Blvd
- Orchard Park, NY 14127-1732
Phone: (716) 972-0279
Specialties
- Adult Health Nurse Practitioner (363LA2200X)
Endpoints
- mastrangelom@southwesternmedical.medentdirect.com
Direct Messaging Address | Health Information Exchange (Hie) | Other | Orchard Park, NY 14127
Medent
Full Record
- NPI
- 1457005001
- Entity Type
- Individual
- Last Name
- Mastrangelo
- First Name
- Marie
- Credential
- ANP
- Mailing Street Address
- 3675 Southwestern Blvd
- Mailing City
- Orchard Park
- Mailing State
- NY
- Mailing ZIP Code
- 14127-1732
- Mailing Country
- US
- Mailing Phone
- (716) 972-0279
- Practice Street Address
- 3675 Southwestern Blvd
- Practice City
- Orchard Park
- Practice State
- NY
- Practice ZIP Code
- 14127-1732
- Practice Country
- US
- Practice Phone
- (716) 972-0279
- Enumeration Date
- February 11, 2022
- Last Updated
- February 11, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- February 11, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Adult Health Nurse Practitioner (363LA2200X)
- Other Identifiers
- 310686 (NY, Nys License)