Estrada, Angelita

Estrada, Angelita is an individual health care provider with primary practice located at 161 E Rivulon Blvd Ste 201 , Gilbert AZ 85297-0087. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Estrada, Angelita can be contacted via phone (480) 494-2465.

Contact Information

Primary practice address
161 E Rivulon Blvd Ste 201 Gilbert AZ 85297-0087
Phone: (480) 494-2465
Fax: (480) 534-4087
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X AP141972 Texas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 254158 Arizona

Profile Details

NPI number 1710522040
LBN Legal business name Estrada, Angelita
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 11th, 2019
Last updated Mar 14th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710522040 NPPES
Texas MEDICAID 407836201
Texas Other 407836202

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