Healthcare Provider Details

I. General information

NPI: 1073399689
Provider Name (Legal Business Name): ANGEL DUHANEY RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/07/2023
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20611 EUCLID AVE
EUCLID OH
44117-1521
US

IV. Provider business mailing address

20611 EUCLID AVENUE
EUCLID OH
44117
US

V. Phone/Fax

Practice location:
  • Phone: 855-967-2438
  • Fax:
Mailing address:
  • Phone: 855-967-2436
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number176584
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number529163
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: