Healthcare Provider Details

I. General information

NPI: 1013844372
Provider Name (Legal Business Name): ANGELA PATTERSON RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/08/2026
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

430 CLEVELAND AVE
COLUMBUS OH
43215-2164
US

IV. Provider business mailing address

270 E STATE ST
COLUMBUS OH
43215-4312
US

V. Phone/Fax

Practice location:
  • Phone: 614-365-5824
  • Fax: 614-365-6429
Mailing address:
  • Phone: 614-365-5000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number291455
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: