Individual provider · Type 1 NPI
Elizabeth E. Deangelis, APN
Pediatric Nurse Practitioner · San Diego, CA
NPI number
1992094627
Active
Practice location
3811 Valley Centre Dr
San Diego, CA 92130-3318
Mailing address
833 W Peregrine Dr
Palatine, IL 60067-7048
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 209008577 (IL) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 95003684 (CA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1992094627
Elizabeth E. Deangelis, APN's National Provider Identifier is 1992094627, issued on Apr 4, 2011. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in San Diego, CA. The record was last updated on Mar 28, 2017.