Individual
ANGELA MICKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
420 N JAMES RD, COLUMBUS, OH 43219-1834
(740) 504-1676
Mailing address
420 N JAMES RD, COLUMBUS, OH 43219-1834
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.400326
OH
164W00000X
Licensed Practical Nurse
PN.137093-M-IV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3138161
—
OH
Enumeration date
08/31/2010
Last updated
04/25/2022
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