Miller, Angela Dawn
Miller, Angela Dawn is an sole proprietor health care provider with primary practice located at 611 2Nd St , Marietta OH 45750-2123. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Miller, Angela Dawn can be contacted via phone (740) 373-8756.Contact Information
Primary practice address
611 2Nd St
Marietta OH 45750-2123
Phone: (740) 373-8756
Fax: (740) 373-0091
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 45787 | West Virginia |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | NP07364 | Ohio |
Profile Details
| NPI number | 1649273137 |
|---|---|
| LBN Legal business name | Miller, Angela Dawn |
| Credentials | Certified Family Nurse Practitioner (CFNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 27th, 2005 |
| Last updated | Feb 13th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649273137 | NPPES |
| Ohio | MEDICAID | 2552929 | |
| Ohio | MEDICAID | 7103074000 |
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