MEDICARE: ANGELA MARIE GARLAND CNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207QA0505X	Adult Medicine Physician	APRN.CNP026490	OH

General Provider Information

NPI Number	:	1124634605
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELA MARIE GARLAND CNP

Provider Business Mailing Address
First Line	:	494 NEEB RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45233-5104
Country	:	US
Telephone Number	:	513-628-7818
Fax Number	:

Provider Business Practice Location Address
First Line	:	494 NEEB RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45233-5104
Country	:	US
Telephone Number	:	513-347-3302
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2020
Last Update Date	:	04/25/2021

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