Provider Demographics
NPI:1790348019
Name:HIGHTOWER, ANGEL L (FNP-BC, MSN)
Entity Type:Individual
Prefix:
First Name:ANGEL
Middle Name:L
Last Name:HIGHTOWER
Suffix:
Gender:F
Credentials:FNP-BC, MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2559 WALKING STICK CT
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91915-1525
Mailing Address - Country:US
Mailing Address - Phone:619-599-5995
Mailing Address - Fax:
Practice Address - Street 1:660 OLD TELEGRAPH CANYON RD
Practice Address - Street 2:
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91910-6587
Practice Address - Country:US
Practice Address - Phone:619-482-2400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-22
Last Update Date:2019-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA841741163W00000X
CA95011537363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse