Provider Demographics
NPI:1669404133
Name:MARASIGAN, ANGELITA BALUYOT (RN)
Entity type:Individual
Prefix:MRS
First Name:ANGELITA
Middle Name:BALUYOT
Last Name:MARASIGAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:ANGIE
Other - Middle Name:BALUYOT
Other - Last Name:MARASIGAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:3930 EAGLE ROSE ST
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89032-9074
Mailing Address - Country:US
Mailing Address - Phone:702-657-8624
Mailing Address - Fax:
Practice Address - Street 1:3930 EAGLE ROSE ST
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89032-9074
Practice Address - Country:US
Practice Address - Phone:702-657-8624
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health