Healthcare Provider Details

I. General information

NPI: 1689578502
Provider Name (Legal Business Name): ANGELA MONICO RAPONE BSN, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 5TH ST
STRUTHERS OH
44471-1666
US

IV. Provider business mailing address

376 EDISON ST
STRUTHERS OH
44471-1355
US

V. Phone/Fax

Practice location:
  • Phone: 330-750-1064
  • Fax: 330-755-4749
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number382886
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: