Healthcare Provider Details

I. General information

NPI: 1912710104
Provider Name (Legal Business Name): CARMELA CAGLE REGISTERED NURSE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/30/2025
Last Update Date: 01/30/2025
Certification Date: 01/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7690 DISCOVERY DR UNIT 3900
WEST CHESTER OH
45069-6558
US

IV. Provider business mailing address

7690 DISCOVERY DR UNIT 3900
WEST CHESTER OH
45069-6558
US

V. Phone/Fax

Practice location:
  • Phone: 513-475-7998
  • Fax: 513-475-8271
Mailing address:
  • Phone: 513-475-7998
  • Fax: 513-475-8271

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License NumberRN235542
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: