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Giles Cyrus Custodio Crockett-sano, AGACNP-BC
Nurse Practitioner in Westminster, California
NPI 1699373365

Giles Cyrus Custodio Crockett-sano is a Nurse Practitioner based in Westminster, CA. Giles Cyrus Custodio Crockett-sano practices in Westminster, CA and has the professional credentials of AGACNP-BC. The NPI Number for Giles Cyrus Custodio Crockett-sano is 1699373365 and holds a License No. 95015366 (California).

The current practice location address for Giles Cyrus Custodio Crockett-sano is 9353 Bolsa Ave Ste A100, Westminster, CA and can be reached out via phone at 800-641-4651 and via fax at 714-369-2769.

Location: 9353 Bolsa Ave Ste A100, Westminster, CA, 92683-5951
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699373365
Provider Name
Giles Cyrus Custodio Crockett-sano
Credential
AGACNP-BC
Provider Entity Type
Individual
Gender
Male
Address
9353 Bolsa Ave Ste A100, Westminster, CA, 92683-5951
Phone Number
800-641-4651
Fax Number
714-369-2769
Provider Enumeration Date
10/14/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
9353 Bolsa Ave Ste A100
City
Westminster
State
California
Zip
92683-5951
Phone Number
800-641-4651
Fax Number
714-369-2769
person
Provider Business Mailing Address Details
Address
9353 Bolsa Ave Ste A100
City
Westminster
State
California
Zip
92683-5951
Phone Number
800-641-4651
Fax Number
714-369-2769
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
95015366 (California)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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