Individual provider · NPI-1
Angelica Casados, RN
Registered Nurse, General Practice · Espanola, NM
NPI number1801483607
StatusActive
Last updated in NPPESDec 28, 2020
Details
- NPI
- 1801483607
- Entity type
- Individual (NPI-1)
- Name
- Angelica Casados
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 28, 2020
- Certification date
- Dec 28, 2020
- Last updated
- Dec 28, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WG0000X | Registered Nurse, General Practice | Rn-74505 | NM | Yes |
Practice location
722a School StEspanola, NM 87532-9023
Phone 505-423-5399
Mailing address
Po Box 1240Espanola, NM 87532-1240
Phone 505-484-7938
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