# ANGELITA NIXON, CNM, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124049770
- **Authorized official:** ANGELITA NIXON CNM, MSN (MANAGING MEMBER)
- **Authorized official phone:** (304) 757-9006

## Contact information

- **Practice address:** 147 SCENIC DR, SCOTT DEPOT, WV 25560-9656
- **Practice address phone:** (304) 757-9006
- **Mailing address:** PO BOX 213, SCOTT DEPOT, WV 25560-0213
- **Mailing address phone:** (304) 757-9006

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 367A00000X | Advanced Practice Midwife | 110 | WV | Yes |

## Other

- **Enumeration date:** 07/21/2006
- **Last updated:** 08/22/2020