Angelique Renee Swank, LPN
Individual provider Active NPI Licensed Practical Nurse · Jamestown, OH
NPI 1114342185 · NPPES record last updated Feb 26, 2014
Key facts
- NPI
- 1114342185
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 144788 (OH)
- Practice address
- 4646 Cottonville Rd
Jamestown, OH 45335-1516 - Phone
- (937) 768-3656
- NPI assigned
- Feb 26, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 144788 | OH | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 144788 | OH | Yes |
Addresses
Primary practice location
4646 Cottonville Rd
Jamestown, OH 45335-1516
Mailing address
4646 Cottonville Rd
Jamestown, OH 45335-1516
Phone (937) 768-3656
Other names
- Ms. Angelique Renee Theile
Other providers in Jamestown, OH
- Silver Creek Township Trustees
- Aleena Nicole Slone
- Richard K Smith
- Spirithorse of Ohio, LLC.
- Supertown Drugs
- Todd A Tackage
- Toward Independence Inc.
- Karley Walker
- Debra West
- Payton West
All providers in Jamestown, OH · Licensed Practical Nurse in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.