MEDICARE: MISS COCA ANGHELACHE 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	363LF0000X	Family Nurse Practitioner	COA.10993-NP	OH
2	363LF0000X	Family Nurse Practitioner	RX.10993-EX1	OH
3	363LF0000X	Family Nurse Practitioner	RN 315385	OH

General Provider Information

NPI Number	:	1306170923
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS COCA ANGHELACHE CNP

Provider Business Mailing Address
First Line	:	6611 CLYO RD
Second Line	:	STE E
City	:	DAYTON
State	:	OH
Zip	:	45459-2785
Country	:	US
Telephone Number	:	937-886-9191
Fax Number	:

Provider Business Practice Location Address
First Line	:	6611 CLYO RD STE E
Second Line	:
City	:	CENTERVILLE
State	:	OH
Zip	:	45459-2785
Country	:	US
Telephone Number	:	937-208-8282
Fax Number	:	937-208-8275

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

Provider Enumeration Date	:	09/29/2009
Last Update Date	:	12/12/2019

Similar Medicare Providers

1710749817 — MEAGAN LOVIN PA-C
Practice Location Address:

6611 CLYO RD STE A
CENTERVILLE, OH
45459-2785

Practice Phone: 937-208-7300
Practice Fax:

1760487979 — LATHA VENKATESH M.D.
Practice Location Address:

6611 CLYO RD STE D
CENTERVILLE, OH
45459-2785

Practice Phone: 937-208-7350
Practice Fax:

1467684670 — RAYNA HALL LMT, RN, FNP-BC
Practice Location Address:

6611 CLYO RD STE A
CENTERVILLE, OH
45459-2785

Practice Phone: 937-208-7300
Practice Fax: 937-208-7330

1912280827 — AMELIA KAIDI WHITLATCH NP-C
Practice Location Address:

6611 CLYO RD , STE E
CENTERVILLE, OH
45459-2785

Practice Phone: 937-208-8282
Practice Fax: 937-208-8275

1114288792 — ADAM ANTHONY GOLAS M.D., M.P.H.
Practice Location Address:

6611 CLYO RD STE F
CENTERVILLE, OH
45459-2785

Practice Phone: 937-208-5300
Practice Fax: 937-208-2812

1356723225 — DR. BHAVANI POKALA M.D.
Practice Location Address:

6611 CLYO RD STE F
CENTERVILLE, OH
45459-2785

Practice Phone: 937-208-5300
Practice Fax: 937-208-5650

Directions to “ MISS COCA ANGHELACHE CNP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.