Deangelo, Marguerite S

Deangelo, Marguerite S is an individual health care provider with primary practice located at 1441 Constitution Blvd Bldg. 200, Floor One, Suite 105, Salinas CA 93906-3100. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Deangelo, Marguerite S can be contacted via phone (831) 769-8660.

Contact Information

Primary practice address
1441 Constitution Blvd Bldg. 200, Floor One, Suite 105 Salinas CA 93906-3100
Phone: (831) 769-8660
Fax: (831) 769-8655
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 11586 California
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA15415 California
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 11586 California

Profile Details

NPI number 1477678050
LBN Legal business name Deangelo, Marguerite S
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2007
Last updated Jan 24th, 2012 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1477678050 NPPES
California MEDICAID FHC70125F

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