Individual
ANGELA J CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1401 AVOCADO AVE STE 802, NEWPORT BEACH, CA 92660-7784
(949) 644-0970
(949) 644-0774
Mailing address
21442 FLEET LN, HUNTINGTON BEACH, CA 92646-7223
(714) 225-9189
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
95011049
CA
Other
Enumeration date
03/21/2019
Last updated
03/21/2019
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