NPI 1851901052 · live from the CMS NPI Registry
Angela Gragg, Registered Nurse
Registered Nurse in Mesa, AZ. National Provider Identifier 1851901052, active.
NPI record
| NPI | 1851901052 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse 163W00000X |
| Practice location | 1325 W Guadalupe Rd Apt 205, Mesa, AZ 85202 |
| Practice phone | 205-356-3724 |
| Enumerated | August 3, 2020 |
| Last updated | August 3, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Addiction (Substance Use Disorder) | 163WA0400X | RN210629 (AZ) |
| Registered Nurse, Community Health | 163WC1500X | RN210629 (AZ) |
| Registered Nurse, Continuing Education/Staff Development | 163WC1600X | RN210629 (AZ) |
| Registered Nurse, General Practice | 163WG0000X | 11647 (VI) |
| Registered Nurse, Hospice | 163WH1000X | RN210629 (AZ) |
| Registered Nurse, Wound Care | 163WW0000X | RN210629 (AZ) |
| Registered Nurse primary | 163W00000X | 11647 (VI) |
| Registered Nurse, Nutrition Support | 163WN1003X | RN210629 (AZ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.