Healthcare Provider Details

I. General information

NPI: 1588528269
Provider Name (Legal Business Name): ANGELA ROSE SPERRAZZA RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25101 CHAGRIN BLVD STE 100
BEACHWOOD OH
44122-5694
US

IV. Provider business mailing address

25101 CHAGRIN BLVD STE 100
BEACHWOOD OH
44122-5694
US

V. Phone/Fax

Practice location:
  • Phone: 440-409-5550
  • Fax:
Mailing address:
  • Phone: 440-409-5550
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.511836
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: