Provider Demographics
NPI:1730522764
Name:BUCU, ANGELINA D (NP)
Entity type:Individual
Prefix:MS
First Name:ANGELINA
Middle Name:D
Last Name:BUCU
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Gender:F
Credentials:NP
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Mailing Address - Street 1:4440 E WASHINGTON AVE
Mailing Address - Street 2:STE 109
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89110-5793
Mailing Address - Country:US
Mailing Address - Phone:818-281-6290
Mailing Address - Fax:818-396-5752
Practice Address - Street 1:620 N KENWOOD ST
Practice Address - Street 2:211
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91206-2323
Practice Address - Country:US
Practice Address - Phone:818-281-6290
Practice Address - Fax:818-396-5752
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-09
Last Update Date:2020-01-27
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Provider Licenses
StateLicense IDTaxonomies
NV825676363LF0000X
CA22776363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily