Individual
ANGELA GRAGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
1325 W GUADALUPE RD APT 205, MESA, AZ 85202-9113
(205) 356-3724
Mailing address
1325 W GUADALUPE RD APT 205, MESA, AZ 85202-9113
(205) 365-3724
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
11647
VI
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
RN210629
AZ
163WC1500X
Community Health Registered Nurse
RN210629
AZ
163WC1600X
Continuing Education/Staff Development Registered Nurse
RN210629
AZ
163WG0000X
General Practice Registered Nurse
11647
VI
163WH1000X
Hospice Registered Nurse
RN210629
AZ
163WN1003X
Nutrition Support Registered Nurse
RN210629
AZ
163WW0000X
Wound Care Registered Nurse
RN210629
AZ
Other
Enumeration date
08/03/2020
Last updated
08/03/2020
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