NPI Code Details Logo

NPI 1912601121

NPI 1912601121 : ANGELIQUE LINLEY APRN : CERRITOS, CA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1912601121
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    ANGELIQUE LINLEY APRN
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    03/30/2023
-----------------------------------------------------
    Last Update Date     |    07/30/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    18000 STUDEBAKER RD STE 800 
-----------------------------------------------------
    City                 |    CERRITOS
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    90703-2671
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    562-735-3226
-----------------------------------------------------
    Fax                  |    833-438-9659
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    544 NW 46TH TER 
-----------------------------------------------------
    City                 |    PLANTATION
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    33317-2044
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    754-281-2855
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    363LG0600X
-----------------------------------------------------
    Taxonomy Name        |    Gerontology Nurse Practitioner
-----------------------------------------------------
    License Number       |    11023351
-----------------------------------------------------
    License Number State |    FL
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    363LP2300X
-----------------------------------------------------
    Taxonomy Name        |    Primary Care Nurse Practitioner
-----------------------------------------------------
    License Number       |    11023351
-----------------------------------------------------
    License Number State |    FL
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    363LA2200X
-----------------------------------------------------
    Taxonomy Name        |    Adult Health Nurse Practitioner
-----------------------------------------------------
    License Number       |    11023351
-----------------------------------------------------
    License Number State |    FL
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.