Angelo, Phyllis A
Angelo, Phyllis A is an individual health care provider with primary practice located at 3925 Old Redwood Hwy , Santa Rosa CA 95403-1719. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Angelo, Phyllis A can be contacted via phone (707) 566-5327.Contact Information
Primary practice address
3925 Old Redwood Hwy
Santa Rosa CA 95403-1719
Phone: (707) 566-5327
Fax: (707) 566-5292
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 282719 | California |
Profile Details
| NPI number | 1538234489 |
|---|---|
| LBN Legal business name | Angelo, Phyllis A |
| Credentials | Certified Pediatric Nurse Practitioner (CPNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 22nd, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
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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