Provider Demographics
NPI:1215534854
Name:QUIAOT, ANGELIQUE AUSTRIA (RN)
Entity type:Individual
Prefix:
First Name:ANGELIQUE
Middle Name:AUSTRIA
Last Name:QUIAOT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17825 WEAVING LN
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92127-1283
Mailing Address - Country:US
Mailing Address - Phone:760-270-2129
Mailing Address - Fax:
Practice Address - Street 1:17825 WEAVING LN
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92127-1283
Practice Address - Country:US
Practice Address - Phone:760-270-2129
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-07
Last Update Date:2020-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95205568163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse