Provider Demographics
NPI:1730446766
Name:DANGELO, MAUREEN MEGAN (MD)
Entity type:Individual
Prefix:DR
First Name:MAUREEN
Middle Name:MEGAN
Last Name:DANGELO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MISS
Other - First Name:MAUREEN
Other - Middle Name:MEGAN
Other - Last Name:GORDON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10233 N 182ND CIR
Mailing Address - Street 2:
Mailing Address - City:BENNINGTON
Mailing Address - State:NE
Mailing Address - Zip Code:68007-3225
Mailing Address - Country:US
Mailing Address - Phone:563-343-5282
Mailing Address - Fax:
Practice Address - Street 1:16901 LAKESIDE HILLS CT
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68130-2318
Practice Address - Country:US
Practice Address - Phone:402-717-8111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-16
Last Update Date:2024-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036137208207P00000X
NE32434207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine