Basic Information
| Provider Information | |||||||||
| NPI: | 1396789541 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | NAGEL | ||||||||
| FirstName: | ANGELA | ||||||||
| MiddleName: | K | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | PHARMD, BCPS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 913 CULVER RD | ||||||||
| Address2: | CULVER MEDICAL GROUP | ||||||||
| City: | ROCHESTER | ||||||||
| State: | NY | ||||||||
| PostalCode: | 146097141 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5856545432 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 913 CULVER RD | ||||||||
| Address2: | CULVER MEDICAL GROUP | ||||||||
| City: | ROCHESTER | ||||||||
| State: | NY | ||||||||
| PostalCode: | 146097141 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5856545432 | ||||||||
| FaxNumber: | 5856545432 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/16/2006 | ||||||||
| LastUpdateDate: | 08/28/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 183500000X | 046911 | NY | N | Pharmacy Service Providers | Pharmacist | 1835P0018X | I046911 | NY | Y | Pharmacy Service Providers | Pharmacist | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
No ID Information.