Prickett, Angela Marie
Prickett, Angela Marie is an individual health care provider with primary practice located at 3700 Southern Blvd Ste 300 , Kettering OH 45429-1265. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Prickett, Angela Marie can be contacted via phone (937) 643-9299.Contact Information
Primary practice address
3700 Southern Blvd Ste 300
Kettering OH 45429-1265
Phone: (937) 643-9299
Fax: (937) 643-2343
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | COA.10951-NP | Ohio |
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | APRN.CNP.10951 | Ohio |
Profile Details
NPI number | 1982937413 |
---|---|
LBN Legal business name | Prickett, Angela Marie |
Credentials | N.P.-C |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 16th, 2009 |
Last updated | Jul 9th, 2021 - about 4 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 | 1982937413 | NPPES |
Ohio | MEDICAID | 0081729 |
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