Provider Demographics
NPI:1902955891
Name:ANGELO, CHRISTI M (APRN-F/AC)
Entity Type:Individual
Prefix:MS
First Name:CHRISTI
Middle Name:M
Last Name:ANGELO
Suffix:
Gender:F
Credentials:APRN-F/AC
Other - Prefix:
Other - First Name:CHRISTI
Other - Middle Name:M
Other - Last Name:LAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN-BC, F/AC
Mailing Address - Street 1:185 E PARKS HWY
Mailing Address - Street 2:
Mailing Address - City:WASILLA
Mailing Address - State:AK
Mailing Address - Zip Code:99654-7038
Mailing Address - Country:US
Mailing Address - Phone:907-671-4577
Mailing Address - Fax:
Practice Address - Street 1:185 E PARKS HWY
Practice Address - Street 2:
Practice Address - City:WASILLA
Practice Address - State:AK
Practice Address - Zip Code:99654-7038
Practice Address - Country:US
Practice Address - Phone:907-715-6956
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AKNURU1334363LF0000X
AK1334363LF0000X
MDAC000361363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily