| Doctor Name: | BRITA MARIE ANGELONE |
| NPI Number: | 1124329305 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | AP 60189621 |
| Business Practice Address: | 114 S Louis Tittle Ave Mangum, OK - 735544406 |
| Business Phone Number: | 5807823393 |
| Business Fax Number: | |
| Mailing Address: | 114 S Louis Tittle Ave, MANGUM |
| State: | OK |
| Postal Code: | 735544406 |
| Phone Number: | 5807823393 |
| Fax Number: | |
| NPI Enumeration Date: | 11/04/2010 |
| NPI Last Update Date: | 08/26/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | AP 60189621 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |