Provider Demographics
NPI:1891584173
Name:LIZARRAGA, ANGELEE CRYSTAL (RN, SANE-A)
Entity type:Individual
Prefix:
First Name:ANGELEE
Middle Name:CRYSTAL
Last Name:LIZARRAGA
Suffix:
Gender:
Credentials:RN, SANE-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9033 W HIDDEN SAGUARO TRL
Mailing Address - Street 2:
Mailing Address - City:MARANA
Mailing Address - State:AZ
Mailing Address - Zip Code:85653-8944
Mailing Address - Country:US
Mailing Address - Phone:520-982-5076
Mailing Address - Fax:
Practice Address - Street 1:9033 W HIDDEN SAGUARO TRL
Practice Address - Street 2:
Practice Address - City:MARANA
Practice Address - State:AZ
Practice Address - Zip Code:85653-8944
Practice Address - Country:US
Practice Address - Phone:520-982-5076
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-03
Last Update Date:2025-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ160007163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty