Angie Shammo
Nurse Practitioner in Escondido, CA. Individual provider (NPI-1).
NPI number1679110464
StatusActive
Last updated in NPPESApr 29, 2026
Details
- NPI
- 1679110464
- Entity type
- Individual (NPI-1)
- Name
- Angie Shammo
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 29, 2019
- Certification date
- Apr 29, 2026
- Last updated
- Apr 29, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 95018797 | CA | Yes |
| 363L00000X | Nurse Practitioner | 4704328368 | MI |
Practice location
225 E 2nd AveEscondido, CA 92025-4212
Phone 760-291-6777 · Fax 760-737-7324
Mailing address
225 E 2nd AveEscondido, CA 92025-4212
Phone 760-291-6700
Other practice locations
3252 Holiday Ct Ste 208
La Jolla, CA 92037-1808
La Jolla, CA 92037-1808
Phone 858-247-0242
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All 39 Nurse Practitioner providers in Escondido · All 4,391 providers in Escondido
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