Ms Angela Misuraco, NP | |
2801 Santa Maria Way, Santa Maria, CA 93455-2118 | |
(636) 449-4700 | |
Not Available |
Full Name | Ms Angela Misuraco |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 2801 Santa Maria Way, Santa Maria, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114901279 | NPI | - | NPPES |
827320581 | Other | MO | CPIN |
427259403 | Medicaid | MO | |
427259411 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 141587 (Missouri) | Secondary |
363L00000X | Nurse Practitioner | 95008948 (California) | Primary |
Entity Name | Ssm Health Care St Louis |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275586174 PECOS PAC ID: 7810800737 Enrollment ID: O20031118000393 |
Entity Name | Ssm Cardinal Glennon Children's Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174577670 PECOS PAC ID: 7012828163 Enrollment ID: O20031231000604 |
Mailing Address | Practice Location Address |
---|---|
Ms Angela Misuraco, NP 2050 S Blosser Rd, Santa Maria, CA 93458-7310 Ph: (805) 361-8028 | Ms Angela Misuraco, NP 2801 Santa Maria Way, Santa Maria, CA 93455-2118 Ph: (636) 449-4700 |
Richard L John Jr., APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1550 E Main St, Mental Health, Santa Maria, CA 93454 Phone: 805-354-6053 | |
Leslie M Hutton, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 821 E Chapel St Ste 201, Santa Maria, CA 93454 Phone: 805-922-5749 | |
Sharuti Dolly Bhatia, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1537 S Boston Ln, Santa Maria, CA 93458 Phone: 141-526-5050 | |
Mrs. Jennifer Diaz, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 210 S Palisade Dr Ste 101, Santa Maria, CA 93454 Phone: 805-922-0481 Fax: 805-925-5261 | |
Ms. Sandra Mary Loehner, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 415 E Chapel St, Santa Maria, CA 93454 Phone: 805-722-3100 Fax: 805-928-7671 | |
Mr. Justin Mora, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2271 S Depot St, Santa Maria, CA 93455 Phone: 805-922-0561 Fax: 805-922-0083 | |
Beaulah P Jay, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2225 Cordoban Ln, Santa Maria, CA 93455 Phone: 805-478-8237 |