Porcelli, Angela

Porcelli, Angela is an individual health care provider with primary practice located at 1611 S Madison St , Appleton WI 54915-1844. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Porcelli, Angela can be contacted via phone (920) 730-5380.

Contact Information

Primary practice address
1611 S Madison St Appleton WI 54915-1844
Phone: (920) 730-5380
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 6434-33 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 6434-33 Wisconsin

Profile Details

NPI number 1366825820
LBN Legal business name Porcelli, Angela
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2015
Last updated Jul 8th, 2021 - about 5 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 1366825820 NPPES
Wisconsin MEDICAID 1366825820

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