Individual
MRS. PHYLLIS A ANGELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
3925 OLD REDWOOD HWY, SANTA ROSA, CA 95403-1719
(707) 566-5327
(707) 566-5292
Mailing address
3925 OLD REDWOOD HWY, SANTA ROSA, CA 95403-1719
(707) 571-4033
(707) 566-5292
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
282719
CA
Other
Enumeration date
11/22/2006
Last updated
07/08/2007
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