Individual
MS. ANGELA MISURACO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
2801 SANTA MARIA WAY, SANTA MARIA, CA 93455-2118
(636) 449-4700
Mailing address
2050 S BLOSSER RD, SANTA MARIA, CA 93458-7310
(805) 361-8028
(805) 361-8097
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
141587
MO
363L00000X
Nurse Practitioner
Primary
95008948
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
427259403
—
MO
05
—
427259411
—
MO
01
—
827320581
CPIN
MO
Enumeration date
12/02/2005
Last updated
10/02/2018
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