Active NPIIndividual provider

Angela Balcom

Nurse Practitioner, Women's Health in Revere, Massachusetts

NPI Number1831927466
Practice location
310 Broadway, Revere, MA 02151-5035
Fax
—
Last updated
December 20, 2024

Angela Balcom is a Nurse Practitioner, Women's Health based in Revere, MA. Angela Balcom practices in Revere, MA. The NPI Number for Angela Balcom is 1831927466 and holds a License No. RN10013081 (MA). The current practice location address for Angela Balcom is 310 Broadway, Revere, MA 02151-5035 and can be reached out via phone at 781-289-2266.

Provider Profile Details

NPI Number
1831927466
Provider Name
Angela Balcom
Provider Entity Type
Individual
Gender
Female
Address
310 Broadway, Revere, MA 02151-5035
Phone Number
781-289-2266
Primary Taxonomy
Nurse Practitioner, Women's Health · 363LW0102X
Sole Proprietor
No
Provider Enumeration Date
July 24, 2024
Last Update Date
December 20, 2024
Certification Date
December 20, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
310 Broadway
Revere, MA 02151-5035
City
Revere
Zip
02151-5035
Phone Number
781-289-2266
Revere, MA 02151Get directions →

Provider Business Mailing Address Details

Address
710 Quinnipiac Ave
New Haven, CT 06513-4007
City
New Haven
State
CT
Zip
06513-4007

License Information

License Number (1)
RN10013081
License State (1)
MA
License Number (2)
RN10013081
License State (2)
MA
Taxonomy (2)
Nurse Practitioner, Women's Health · 363LW0102X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Angela Balcom?

The NPI number of Angela Balcom is 1831927466. It was assigned on July 24, 2024 and is currently active in the NPPES registry.

What is the specialty of Angela Balcom?

Angela Balcom is registered under the primary taxonomy Nurse Practitioner, Women's Health (code 363LW0102X), licensed in MA under license number RN10013081.

Where does Angela Balcom practice?

The practice location is 310 Broadway, Revere, MA 02151-5035. The office can be reached at 781-289-2266 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1831927466 directly on the NPPES registry website.

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