Provider Demographics
NPI:1851181689
Name:BOESHANS, ANGELA MARIA (RN)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:MARIA
Last Name:BOESHANS
Suffix:
Gender:
Credentials:RN
Other - Prefix:
Other - First Name:ANGELA
Other - Middle Name:MARIA
Other - Last Name:HALPERN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:4341B GOLDEN CENTER DR
Mailing Address - Street 2:
Mailing Address - City:PLACERVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95667-6260
Mailing Address - Country:US
Mailing Address - Phone:530-621-3600
Mailing Address - Fax:530-748-0325
Practice Address - Street 1:4341B GOLDEN CENTER DR
Practice Address - Street 2:
Practice Address - City:PLACERVILLE
Practice Address - State:CA
Practice Address - Zip Code:95667-6260
Practice Address - Country:US
Practice Address - Phone:530-621-3600
Practice Address - Fax:530-748-0325
Is Sole Proprietor?:No
Enumeration Date:2025-05-06
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA512880163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice