IndividualActive
Angela Miedema, PA-C
NPI 1629434980 · Physician Assistant · Pinehurst, NC
Provider details
- NPI number
- 1629434980
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 10001954A (IN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
150 Ivey Ln Ste a
Pinehurst, NC 28374-9817
Phone: (910) 215-5200
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 896208
Charlotte, NC 28289-6208
Registry dates
- Enumerated
- 2016-01-01
- Last updated
- 2020-01-28
- Certified
- 2020-01-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.