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NPI Code Detail

MEDICARE: ANGELA F DUHL

MEDICARE: ANGELA F DUHL
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
1163W00000XRegistered NurseRN.263638OH
2363LF0000XFamily Nurse PractitionerAPRN.CNP.024457OH

General Provider Information

NPI Number : 1396245783
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA F DUHL
Provider Business Mailing Address
First Line : 36 PEMBERTON CV
Second Line :
City : JACKSON
State : TN
Zip : 38305-5514
Country : US
Telephone Number : 731-394-1145
Fax Number :
Provider Business Practice Location Address
First Line : 2159 DOGWOOD RIDGE RD
Second Line :
City : WHEELERSBURG
State : OH
Zip : 45694-9044
Country : US
Telephone Number : 731-394-1145
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2018
Last Update Date : 03/18/2020

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