Individual
ANGELA MARIE RAAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1320 W MAIN ST, NEWARK, OH 43055-1822
(220) 564-7750
(220) 564-7751
Mailing address
1320 W MAIN ST, NEWARK, OH 43055-3699
(220) 564-7750
(220) 564-7751
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.334619
OH
363L00000X
Nurse Practitioner
Primary
APRN.CNP.022845
OH
363LF0000X
Family Nurse Practitioner
APRN.CNP.022845
OH
Other
Enumeration date
06/11/2018
Last updated
10/18/2023
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