Angela Renee Carpenter, RN

Individual provider Active NPI Registered Nurse · Canal Winchester, OH

NPI 1508310327 · NPPES record last updated Dec 3, 2019

Key facts

NPI
1508310327
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
RN.450636 (OH)
Practice address
5602 Xebec Dr
Canal Winchester, OH 43110-8650
Phone
(614) 867-7813
NPI assigned
Aug 10, 2016
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN.450636OHMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN.450636 OH Yes

Addresses

Primary practice location

5602 Xebec Dr
Canal Winchester, OH 43110-8650

Mailing address

5602 Xebec Dr
Canal Winchester, OH 43110-8650
Phone (614) 867-7813

Other providers in Canal Winchester, OH

All providers in Canal Winchester, OH · Registered Nurse in Ohio

Sources for this page

Verify at the official NPI Registry.