Angelle-Cargill, Mary

Angelle-Cargill, Mary is an individual health care provider with primary practice located at 2201 South Ave , South Lake Tahoe CA 96150-7025. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Angelle-Cargill, Mary can be contacted via phone (530) 453-5623.

Contact Information

Primary practice address
2201 South Ave South Lake Tahoe CA 96150-7025
Fax: (305) 415-7385
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP95011808 California

Profile Details

NPI number 1922642784
LBN Legal business name Angelle-Cargill, Mary
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2019
Last updated Jul 11th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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