Individual provider · Type 1 NPI
Angie Degennaro
Family Nurse Practitioner · Riverside, CA
NPI number
1215562897
Active
Practice location
7117 Brockton Ave
Riverside, CA 92506-2658
Fax (951) 784-3257
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 95017898 (CA) |
Family Nurse Practitioner: Definition to come...
146 other providers at this address
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About NPI 1215562897
Angie Degennaro's National Provider Identifier is 1215562897, issued on Mar 4, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Riverside, CA. The record was last updated on Apr 11, 2025.