Provider Demographics
NPI:1750827895
Name:BRETTON, ANGELA MARIA (FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:MARIA
Last Name:BRETTON
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2067 W VISTA WAY STE 140
Mailing Address - Street 2:
Mailing Address - City:VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:92083-6032
Mailing Address - Country:US
Mailing Address - Phone:760-941-4444
Mailing Address - Fax:760-941-8902
Practice Address - Street 1:2067 W VISTA WAY STE 140
Practice Address - Street 2:
Practice Address - City:VISTA
Practice Address - State:CA
Practice Address - Zip Code:92083-6032
Practice Address - Country:US
Practice Address - Phone:760-941-4444
Practice Address - Fax:760-941-8902
Is Sole Proprietor?:No
Enumeration Date:2017-01-12
Last Update Date:2020-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95005149363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily