St. Angelo, Rosa M.
St. Angelo, Rosa M. is an sole proprietor health care provider with primary practice located at 3499 S Mercy Rd , Gilbert AZ 85297-0437. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. St. Angelo, Rosa M. can be contacted via phone (480) 355-8525.Contact Information
Primary practice address
3499 S Mercy Rd
Gilbert AZ 85297-0437
Phone: (480) 355-8525
Fax: (480) 355-3115
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | RN071704 | Arizona |
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | AP7011 | Arizona |
Profile Details
| NPI number | 1578545067 |
|---|---|
| LBN Legal business name | St. Angelo, Rosa M. |
| Credentials | Pediatric Nurse Practitioner (PNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 18th, 2005 |
| Last updated | Oct 21st, 2016 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578545067 | NPPES |
| Arizona | MEDICAID | 563587 |
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