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NPI Code Detail

MEDICARE: ANGELA METCALF

MEDICARE: ANGELA METCALF
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164W00000XLicensed Practical NurseLPN.169532.MEDS-IVOH

General Provider Information

NPI Number : 1093398257
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA METCALF
Provider Business Mailing Address
First Line : 7556 DARL DR
Second Line :
City : MIDDLETOWN
State : OH
Zip : 45042-1005
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2323 MAPLEVIEW AVE
Second Line :
City : DAYTON
State : OH
Zip : 45420-1815
Country : US
Telephone Number : 937-256-7801
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2021
Last Update Date : 05/04/2021

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Directions to “ ANGELA METCALF ” Practice Location

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