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NPI Code Detail

MEDICARE: MS. ANGELA JOHNSON

MEDICARE: MS. ANGELA JOHNSON
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
1376K00000XNurse's Aide
2164W00000XLicensed Practical Nurse171221.MEDS-IVOH

General Provider Information

NPI Number : 1689014151
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ANGELA JOHNSON
Provider Business Mailing Address
First Line : 9986 SHELLBARK LN
Second Line :
City : CINCINNATI
State : OH
Zip : 45231-2356
Country : US
Telephone Number : 513-462-5315
Fax Number :
Provider Business Practice Location Address
First Line : 9986 SHELLBARK LN
Second Line :
City : CINCINNATI
State : OH
Zip : 45231-2356
Country : US
Telephone Number : 513-462-5315
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2013
Last Update Date : 02/18/2026

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Directions to “ MS. ANGELA JOHNSON ” Practice Location

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