Provider Demographics
NPI:1740221118
Name:KREIDER, ANGELA M (CNM)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:M
Last Name:KREIDER
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1003 PLUMAS ST.
Mailing Address - Street 2:
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95991-1396
Mailing Address - Country:US
Mailing Address - Phone:530-751-2273
Mailing Address - Fax:530-751-2274
Practice Address - Street 1:1003 PLUMAS ST
Practice Address - Street 2:
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95991-4107
Practice Address - Country:US
Practice Address - Phone:530-751-2273
Practice Address - Fax:530-751-2274
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-09
Last Update Date:2012-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1785367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife