Misuraco, Angela

Misuraco, Angela is an individual health care provider with primary practice located at 2801 Santa Maria Way , Santa Maria CA 93455-2118. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Misuraco, Angela can be contacted via phone (636) 449-4700.

Contact Information

Primary practice address
2801 Santa Maria Way Santa Maria CA 93455-2118
Phone: (636) 449-4700
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 141587 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 95008948 California

Profile Details

NPI number 1114901279
LBN Legal business name Misuraco, Angela
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2005
Last updated Oct 2nd, 2018 - about 8 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 1114901279 NPPES
Missouri Other 827320581 CPIN
Missouri MEDICAID 427259403 CPIN
Missouri MEDICAID 427259411 CPIN

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