| Doctor Name: | TRICIA K ANGULO-BARTLETT |
| NPI Number: | 1134160070 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP |
| License Number: | R149461 |
| Business Practice Address: | 1120 N Rolling Rd Catonsville, MD - 212283826 |
| Business Phone Number: | 4107448822 |
| Business Fax Number: | 4107445117 |
| Mailing Address: | Po Box 21182, BALTIMORE |
| State: | MD |
| Postal Code: | 212280682 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 06/10/2006 |
| NPI Last Update Date: | 05/27/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP2300X |
| License Number: | R149461 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |