Individual
ANGELA LIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
195 PAGE MILL RD STE 103, PALO ALTO, CA 94306-2073
(888) 731-8994
Mailing address
14355 MIRANDA WAY, LOS ALTOS HILLS, CA 94022-2032
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
9466449
FL
363LF0000X
Family Nurse Practitioner
Primary
95006491
CA
363LF0000X
Family Nurse Practitioner
CNP.0034610
OH
Other
Enumeration date
09/01/2017
Last updated
03/11/2025
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