Angela Sue Cruze, LPN
Individual provider Active NPI Licensed Practical Nurse · Eaton, OH
NPI 1972066835 · NPPES record last updated Apr 8, 2019
Key facts
- NPI
- 1972066835
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 126837 (OH)
- Practice address
- 4375 US Route 127 N
Eaton, OH 45320-9208 - Phone
- (937) 336-6714
- NPI assigned
- Apr 8, 2019
- 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 |
|---|---|---|---|
| 126837 | OH | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 126837 | OH | Yes |
Addresses
Primary practice location
4375 US Route 127 N
Eaton, OH 45320-9208
Mailing address
4375 US Route 127 N
Eaton, OH 45320-9208
Phone (937) 336-6714
Other providers in Eaton, OH
- Vanessa L Copper
- County of Preble
- Clifford Chiles Craddock II
- Stacey Lynn Creech
- David Crowe
- Jaime Lynn Cummins
- Jeanne Current
- Darke County Recovery Services
- Joni A Davis
- Michelle Davis
All providers in Eaton, 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 Apr 8, 2019. 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.