Healthcare Provider Details

I. General information

NPI: 1568378602
Provider Name (Legal Business Name): MICHAEL ANGELO ALSOL APRN, FNP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 SIERRA COLLEGE DR STE 170
GRASS VALLEY CA
95945-5083
US

IV. Provider business mailing address

300 SIERRA COLLEGE DR STE 170
GRASS VALLEY CA
95945-5083
US

V. Phone/Fax

Practice location:
  • Phone: 530-273-4588
  • Fax: 530-273-6426
Mailing address:
  • Phone: 530-273-4588
  • Fax: 530-273-6426

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number95041158
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: