Provider Demographics
NPI:1902223688
Name:DILAURA, ANGELA (RN, NP)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:
Last Name:DILAURA
Suffix:
Gender:F
Credentials:RN, NP
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Mailing Address - Street 1:1441 N TRACY BLVD
Mailing Address - Street 2:
Mailing Address - City:TRACY
Mailing Address - State:CA
Mailing Address - Zip Code:95376-3445
Mailing Address - Country:US
Mailing Address - Phone:209-835-8910
Mailing Address - Fax:209-835-8534
Practice Address - Street 1:1691 THE ALAMEDA
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95126-2203
Practice Address - Country:US
Practice Address - Phone:408-795-3619
Practice Address - Fax:408-287-0405
Is Sole Proprietor?:No
Enumeration Date:2014-03-19
Last Update Date:2015-08-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY672373163W00000X
CA95001720363LW0102X
NY421178363LW0102X
CA95047523163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No163W00000XNursing Service ProvidersRegistered Nurse