Individual provider · Type 1 NPI
Angela J. Carlson, CPNP
Pediatric Nurse Practitioner · Newport Beach, CA
NPI number
1821558347
Active
Practice location
1401 Avocado Ave Ste 802
Newport Beach, CA 92660-7784
Fax (949) 644-0774
Mailing address
21442 Fleet Ln
Huntington Beach, CA 92646-7223
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 95011049 (CA) |
Pediatric Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1821558347
Angela J. Carlson, CPNP's National Provider Identifier is 1821558347, issued on Mar 21, 2019. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Newport Beach, CA. The record was last updated on Mar 21, 2019.