Individual
MS. ROSA M. ST. ANGELO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.N.P.
Contact information
Practice address
3499 S MERCY RD, GILBERT, AZ 85297-0437
(480) 355-8525
(480) 355-3115
Mailing address
3499 S MERCY RD, GILBERT, AZ 85297-0437
(480) 355-8525
(480) 355-3115
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
AP7011
AZ
363LP0200X
Pediatric Nurse Practitioner
Primary
RN071704
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
563587
—
AZ
Enumeration date
11/18/2005
Last updated
10/21/2016
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