Individual provider · Type 1 NPI

Angie Shammo

Nurse Practitioner · Escondido, CA

NPI number 1679110464 Active

Practice location

225 E 2nd Ave
Escondido, CA 92025-4212

Fax (760) 737-7324

Other practice locations

  • 3252 Holiday Ct Ste 208, La Jolla, CA 92037-1808 · (858) 247-0242

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X95018797 (CA)
Nurse Practitioner 363L00000X4704328368 (MI)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1679110464

Angie Shammo's National Provider Identifier is 1679110464, issued on Nov 29, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Escondido, CA. The record was last updated on Apr 29, 2026.