Provider Demographics
NPI:1629629985
Name:CAMBRAY, ANGELY (NP)
Entity Type:Individual
Prefix:
First Name:ANGELY
Middle Name:
Last Name:CAMBRAY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:ANGELY
Other - Middle Name:
Other - Last Name:LEDESMA PUUPATAMMATA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:815 DR MARTIN LUTHER KING JR BLVD
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93307-1365
Mailing Address - Country:US
Mailing Address - Phone:661-322-3905
Mailing Address - Fax:661-322-1370
Practice Address - Street 1:815 DR MARTIN LUTHER KING JR BLVD
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93307-1365
Practice Address - Country:US
Practice Address - Phone:661-322-3905
Practice Address - Fax:661-322-1370
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-26
Last Update Date:2023-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95012910363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner