Provider Demographics
NPI:1881018570
Name:LOZANO-GALVAN, ANGELICA YVETTE (MSN, FNP)
Entity Type:Individual
Prefix:MRS
First Name:ANGELICA
Middle Name:YVETTE
Last Name:LOZANO-GALVAN
Suffix:
Gender:F
Credentials:MSN, FNP
Other - Prefix:
Other - First Name:ANGELICA
Other - Middle Name:YVETTE
Other - Last Name:LOZANO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSN, FNP
Mailing Address - Street 1:5455 ALEXANDRINE CT
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92057-1909
Mailing Address - Country:US
Mailing Address - Phone:520-904-1253
Mailing Address - Fax:
Practice Address - Street 1:5455 ALEXANDRINE CT
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92057-1909
Practice Address - Country:US
Practice Address - Phone:520-904-1253
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-14
Last Update Date:2014-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95000526363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily