National Provider Identifier
Katlyn Marie Dangelo
Katlyn Marie Dangelo is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Henrietta, NY and a listed phone number of (585) 474-3200.
Profile Overview
- NPI
- 1871124867
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- January 29, 2020
- Last Updated
- January 29, 2020
Practice Location
- 5000 E Henrietta RD Apt A4
- Henrietta, NY 14467-8927
Phone: (585) 474-3200
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1871124867
- Entity Type
- Individual
- Last Name
- Dangelo
- First Name
- Katlyn
- Middle Name
- Marie
- Mailing Street Address
- 5000 E Henrietta RD Apt A4
- Mailing City
- Henrietta
- Mailing State
- NY
- Mailing ZIP Code
- 14467-8927
- Mailing Country
- US
- Mailing Phone
- (585) 474-3200
- Practice Street Address
- 5000 E Henrietta RD Apt A4
- Practice City
- Henrietta
- Practice State
- NY
- Practice ZIP Code
- 14467-8927
- Practice Country
- US
- Practice Phone
- (585) 474-3200
- Enumeration Date
- January 29, 2020
- Last Updated
- January 29, 2020
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- January 29, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)
- Other Identifiers
- 335935 (NY)