Individual provider · NPI-1
Angela J Cabrera, CRNP (PNP-PC)
Nurse Practitioner, Pediatrics · Mesa, AZ
NPI number1245375955
StatusActive
Last updated in NPPESJul 7, 2020
Details
- NPI
- 1245375955
- Entity type
- Individual (NPI-1)
- Name
- Ms. Angela J Cabrera
- Credential
- CRNP (PNP-PC)
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 20, 2007
- Certification date
- Jul 7, 2020
- Last updated
- Jul 7, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | AP4113 | AZ | Yes |
Practice location
1432 S Dobson Rd Ste 403Mesa, AZ 85202-4777
Phone 480-412-7718 · Fax 480-412-7750
Mailing address
18700 N 64th DrSuite 301
Glendale, AZ 85308-7109
Phone 623-561-5437 · Fax 623-561-9320
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