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NPI Code Detail

MEDICARE: ANGELA ROSE SPERRAZZA RN

MEDICARE: ANGELA ROSE SPERRAZZA RN
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
1163W00000XRegistered NurseRN.511836OH

General Provider Information

NPI Number : 1588528269
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA ROSE SPERRAZZA RN
Provider Business Mailing Address
First Line : 25101 CHAGRIN BLVD STE 100
Second Line :
City : BEACHWOOD
State : OH
Zip : 44122-5694
Country : US
Telephone Number : 440-409-5550
Fax Number :
Provider Business Practice Location Address
First Line : 25101 CHAGRIN BLVD STE 100
Second Line :
City : BEACHWOOD
State : OH
Zip : 44122-5694
Country : US
Telephone Number : 440-409-5550
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2025
Last Update Date : 12/16/2025

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