Angelina Lara is a Family in Grants Pass, Oregon. Angelina Lara practices all healthcare services and medical treatments related to Family. The NPI Number for Angelina Lara is 1437155504. The last update date is 2007-07-08.
Angelina Lara's current location address is 495 Sw Ramsey Ave, Grants Pass, Oregon. You can contact this provider via phone number 5414766644 and fax number 5414725673. The mailing address for Angelina Lara is 495 Sw Ramsey Ave, Grants Pass, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Angelina Lara |
|---|---|
| Address | 495 Sw Ramsey Ave, Grants Pass, Oregon |
| Phone Number | 5414766644 |
| Fax Number | 5414725673 |
| Sole Proprietor | N |
| Credentials | RN, FNP |
NPI Number Detail
| NPI Number | 1437155504 |
|---|---|
| Provider Enumeration Date | 2005-06-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 495 Sw Ramsey Ave |
|---|---|
| City | Grants Pass |
| State | Oregon (OR) |
| Post Code | 97527 |
| Phone Number | 5414766644 |
| Fax Number | 5414725673 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 091007741N1 |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 39052 | OR | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Angelina Lara by the Centers for Medicare & Medicaid Services?
The Angelina Lara has been issued the NPI (National Provider Identifier) 1437155504 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Angelina Lara is geographically located?
The Angelina Lara is physically situated at the following location: 495 Sw Ramsey Ave, Grants Pass, OR, 97527.
What is the Angelina Lara's area of specialization and corresponding taxonomy classification?
The Angelina Lara's specialty field is Family, and it falls under the taxonomy code 363Lf0000X, which categorizes healthcare providers based on their specialties.
On what date did Angelina Lara receive its 1437155504 assignment from the Centers for Medicare & Medicaid Services?
The Angelina Lara was assigned its 1437155504 on 2005-06-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Angelina Lara, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Angelina Lara, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.