Estrada, Angelita
Estrada, Angelita is an individual health care provider with primary practice located at 161 E Rivulon Blvd Ste 201 , Gilbert AZ 85297-0087. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Estrada, Angelita can be contacted via phone (480) 494-2465.Contact Information
Primary practice address
161 E Rivulon Blvd Ste 201
Gilbert AZ 85297-0087
Phone: (480) 494-2465
Fax: (480) 534-4087
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | AP141972 | Texas |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 254158 | Arizona |
Profile Details
NPI number | 1710522040 |
---|---|
LBN Legal business name | Estrada, Angelita |
Credentials | Family Nurse Practitioner (FNP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 11th, 2019 |
Last updated | Mar 14th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1710522040 | NPPES |
Texas | MEDICAID | 407836201 | |
Texas | Other | 407836202 |
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