ANGELA BIDLACK


Address: 6438 Opal Way, Carlsbad, CA 92011-1241
Phone: 8582544231

ANGELA BIDLACK (NPI# 1689145278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689145278
Entity Type Individual
Full Name ANGELA BIDLACK
Credential FNP-BC
Practice Address 6438 Opal Way
Carlsbad
CA 92011-1241
Practice Telephone 8582544231
Mailing Telephone 8582544231
Enumeration Date 2018-12-08
Last Update Date 2018-12-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
95010526 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 6438 OPAL WAY
City CARLSBAD
State CA
Zip Code 92011-1241

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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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1467092460 Jennifer Anne Tupper Nurse Practitioner 2420 W Pierce St Ste 100, Carlsbad, NM 88220-3517 2020-01-08
1790333680 Angela Houston Nurse Practitioner 202 W. Church Street, Carlsbad, NM 88220 2019-09-03
1891252318 Stacy Thompson Nurse Practitioner 3610 Village Dr Apt A, Carlsbad, CA 92008-3362 2019-02-21
1134691488 Anne Meyers French Nurse Practitioner 6735 Palermi Place, Carlsbad, CA 92011 2018-12-27
1548744899 Li Li Nurse Practitioner 2402 W Pierce St Ste 6a, Carlsbad, NM 88220-3566 2018-09-22
1083120760 Shannon L Roper Nurse Practitioner 110 S Halagueno St Ste 8, Carlsbad, NM 88220-5748 2017-12-18
1396259172 Masoud Nadi Nurse Practitioner 5938 Priestly Dr Ste 102a, Carlsbad, CA 92008-8847 2017-12-01
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1184152753 Rica Elizabeth Davis Nurse Practitioner 6260 El Camino Real Ste 204, Carlsbad, CA 92009-1609 2017-05-26
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Competitor

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City CARLSBAD
Zip Code 92011

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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