Angela M Byndon-Gregory
Individual provider Active NPI Psychiatric/Mental Health Registered Nurse · Ceres, CA
NPI 1063939833 · NPPES record last updated Aug 23, 2017
Key facts
- NPI
- 1063939833
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Registered Nurse 163WP0808X
- License
- 95130537 (CA)
- Practice address
- 1904 Richland Ave
Ceres, CA 95307-4562 - Phone
- (209) 300-8800
- NPI assigned
- Aug 23, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95130537 | CA | MD | Psychiatric/Mental Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 95130537 | CA | Yes |
Addresses
Primary practice location
1904 Richland Ave
Ceres, CA 95307-4562
Mailing address
9614 N 11TH St
Tampa, FL 33612-8106
Phone (813) 479-7952
Other providers in Ceres, CA
- Garry Henry Brown
- Julia Lynette Brown
- Samantha Ann Bruno
- Lorena Bugarin
- Maria de Los Angeles Buriel
- Grace Ann Marie Cabral
- Jayson Cabuslay
- Nicholas Calderon
- Ava Rae Cameron
- David Cameron
All providers in Ceres, CA · Psychiatric/Mental Health Registered Nurse in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 23, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.