Angelo, Alicia S

Angelo, Alicia S is an individual health care provider with primary practice located at 25000 Country Club Blvd # 255, North Olmsted OH 44070-5344. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Angelo, Alicia S can be contacted via phone (440) 893-0200.

Contact Information

Primary practice address
25000 Country Club Blvd # 255 North Olmsted OH 44070-5344
Phone: (440) 893-0200
Fax: (440) 793-7194
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X COA.08466.NP Ohio

Profile Details

NPI number 1619983657
LBN Legal business name Angelo, Alicia S
Credentials MS, RN, CNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Mar 17th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619983657 NPPES
Ohio MEDICAID 2646355

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