Angelica Puente, RN
Individual provider Active NPI Registered Nurse · Planada, CA
NPI 1659951663 · NPPES record last updated Apr 13, 2021
Key facts
- NPI
- 1659951663
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 687374 (CA)
- Practice address
- 81 S Dana Ave
Planada, CA 95365-8013 - Phone
- (209) 205-0002
- Fax
- (855) 354-6161
- NPI assigned
- Apr 13, 2021
- 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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 687374 | CA | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 687374 | CA | Yes |
Addresses
Primary practice location
81 S Dana Ave
Planada, CA 95365-8013
Mailing address
81 S Dana Ave
Planada, CA 95365-8013
Phone (209) 205-0002
Other providers in Planada, CA
- Eva Lomeli
- Ronald A. Marquez
- Ramaa Maruthachalam
- Shirley Ann Perido Pasia
- Planada Elementary School District
- Moniqua Villarreal Rico
- Jelin Yen Truong
- John Edward Wanzo
All providers in Planada, CA · 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 Apr 13, 2021. 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.