| Doctor Name: | MRS. ANGELA MARIA CHAMPION |
| NPI Number: | 1023323680 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FP-C |
| License Number: | ARNP9186569 |
| Business Practice Address: | 71 Mary Esther Blvd Mary Esther, FL - 325691967 |
| Business Phone Number: | 8503010677 |
| Business Fax Number: | |
| Mailing Address: | 420 Oak Harbour Ln, 102 DESTIN |
| State: | FL |
| Postal Code: | 325412070 |
| Phone Number: | 8508303657 |
| Fax Number: | |
| NPI Enumeration Date: | 08/06/2010 |
| NPI Last Update Date: | 04/03/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | ARNP9186569 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |