Phyllis A Angelo in Santa Rosa - Pediatrics
Phyllis A Angelo - NPI 1538234489
Phyllis A Angelo is a Pediatrics in Santa Rosa, California. Phyllis A Angelo practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Phyllis A Angelo is 1538234489. The last update date is 2007-07-08.
Phyllis A Angelo's current location address is 3925 Old Redwood Hwy, Santa Rosa, California. You can contact this provider via phone number 7075714033 and fax number 7075665292. The mailing address for Phyllis A Angelo is 3925 Old Redwood Hwy, Santa Rosa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Phyllis A Angelo |
|---|---|
| Address | 3925 Old Redwood Hwy, Santa Rosa, California |
| Phone Number | 7075714033 |
| Fax Number | 7075665292 |
| Sole Proprietor | N |
| Credentials | CPNP |
NPI Number Detail
| NPI Number | 1538234489 |
|---|---|
| Provider Enumeration Date | 2006-11-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3925 Old Redwood Hwy |
|---|---|
| City | Santa Rosa |
| State | California (CA) |
| Post Code | 954031719 |
| Phone Number | 7075714033 |
| Fax Number | 7075665292 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
| Licence No | 282719 |
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Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
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What is the unique provider identifier assigned to Phyllis A Angelo?
The Phyllis A Angelo has been issued the NPI (National Provider Identifier) 1538234489 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Phyllis A Angelo?
The Phyllis A Angelo is situated at 3925 Old Redwood Hwy, in the city of Santa Rosa, state of CA, with the zip code 954031719.
What is Phyllis A Angelo's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Phyllis A Angelo's specialized field of practice is Pediatrics, and the corresponding taxonomy code that categorizes this area of specialization is 363Lp0200X.
On what date did the Centers for Medicare & Medicaid Services assign the 1538234489 to Phyllis A Angelo?
The Centers for Medicare & Medicaid Services assigned the 1538234489 to Phyllis A Angelo on 2006-11-22.
When was the information regarding Phyllis A Angelo most recently updated?
The details pertaining to the Phyllis A Angelo, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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