Provider Demographics
NPI:1407510506
Name:TRAPANI, ANGELA (PMHNP)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:
Last Name:TRAPANI
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:ANGELA
Other - Middle Name:
Other - Last Name:MUNDINAC
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1752 BRACKETT AVE
Mailing Address - Street 2:
Mailing Address - City:EAU CLAIRE
Mailing Address - State:WI
Mailing Address - Zip Code:54701-4626
Mailing Address - Country:US
Mailing Address - Phone:715-450-6111
Mailing Address - Fax:715-895-8088
Practice Address - Street 1:1752 BRACKETT AVE
Practice Address - Street 2:
Practice Address - City:EAU CLAIRE
Practice Address - State:WI
Practice Address - Zip Code:54701-4626
Practice Address - Country:US
Practice Address - Phone:715-450-6111
Practice Address - Fax:715-895-8088
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-25
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI11482-33363LP0808X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health