Healthcare Provider Details

I. General information

NPI: 1437084373
Provider Name (Legal Business Name): ANGELICA CROZE RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/13/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5601 DEER VALLEY RD
ANTIOCH CA
94531-8577
US

IV. Provider business mailing address

4808 GOLDEN BEAR DR
ANTIOCH CA
94531-7174
US

V. Phone/Fax

Practice location:
  • Phone: 925-813-6500
  • Fax:
Mailing address:
  • Phone: 619-709-4001
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number95138485
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: