Wyble, Angela

Wyble, Angela is an individual health care provider with primary practice located at 2725 Mendocino Ave , Santa Rosa CA 95403-2805. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Wyble, Angela can be contacted via phone (707) 545-4537.

Contact Information

Primary practice address
2725 Mendocino Ave Santa Rosa CA 95403-2805
Phone: (707) 545-4537
Fax: (707) 545-6726
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA17243 California

Profile Details

NPI number 1871588715
LBN Legal business name Wyble, Angela
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2005
Last updated Apr 13th, 2022 - about 3 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 1871588715 NPPES
California MEDICAID 1871588715
California Other P01795158

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