Provider Demographics
NPI:1801079108
Name:CARRANZA, ANGELICA FRANCISCO (RN)
Entity type:Individual
Prefix:MRS
First Name:ANGELICA
Middle Name:FRANCISCO
Last Name:CARRANZA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:24085 AMADOR STREET
Mailing Address - Street 2:SUITE 110
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94544
Mailing Address - Country:US
Mailing Address - Phone:510-670-8442
Mailing Address - Fax:510-670-8466
Practice Address - Street 1:24085 AMADOR STREET
Practice Address - Street 2:SUITE 110
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94544
Practice Address - Country:US
Practice Address - Phone:510-670-8442
Practice Address - Fax:510-670-8466
Is Sole Proprietor?:No
Enumeration Date:2007-12-10
Last Update Date:2007-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN557078163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse