Provider Demographics
NPI:1316244833
Name:PRICE, ANGELES GACUTAN (RN, MS, CNS)
Entity type:Individual
Prefix:MRS
First Name:ANGELES
Middle Name:GACUTAN
Last Name:PRICE
Suffix:
Gender:F
Credentials:RN, MS, CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:254 WINDSOR WAY
Mailing Address - Street 2:
Mailing Address - City:VALLEJO
Mailing Address - State:CA
Mailing Address - Zip Code:94591-6852
Mailing Address - Country:US
Mailing Address - Phone:707-552-3747
Mailing Address - Fax:
Practice Address - Street 1:254 WINDSOR WAY
Practice Address - Street 2:
Practice Address - City:VALLEJO
Practice Address - State:CA
Practice Address - Zip Code:94591-6852
Practice Address - Country:US
Practice Address - Phone:707-552-3747
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-18
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA315180163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse