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NPI Code Detail

MEDICARE: ANGELA D OGLE NP

MEDICARE: ANGELA D OGLE NP
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
1363L00000XNurse PractitionerAPN0000012435TN

General Provider Information

NPI Number : 1306910351
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA D OGLE NP
Provider Business Mailing Address
First Line : PO BOX 80426
Second Line :
City : CHATTANOOGA
State : TN
Zip : 37414-7426
Country : US
Telephone Number : 423-756-7860
Fax Number :
Provider Business Practice Location Address
First Line : 1300 CLEVELAND AVE
Second Line :
City : CHATTANOOGA
State : TN
Zip : 37404-2005
Country : US
Telephone Number : 423-756-7860
Fax Number : 423-756-9137
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/20/2006
Last Update Date : 11/04/2024

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