Cannavo, Angela

Cannavo, Angela is an individual health care provider with primary practice located at 3903 Fair Ridge Dr , Fairfax VA 22033-2943. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutritionist, Dietary & Nutritional Service Providers / Nutrition, Education. Dietary & Nutritional Service Providers / Nutritionist is her primary health care specialty. Cannavo, Angela can be contacted via phone (703) 865-6490.

Contact Information

Primary practice address
3903 Fair Ridge Dr Fairfax VA 22033-2943
Phone: (703) 865-6490
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X NU200000233 District of Columbia
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X NU200000233 District of Columbia

Profile Details

NPI number 1972380913
LBN Legal business name Cannavo, Angela
Credentials Clinical Nurse Specialist (CNS)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2023
Last updated Dec 23rd, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972380913 NPPES
District of Columbia Other NU00000233 DEPARTMENT OF HEALTH

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