Individual
ANGELA TACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8770 OHIO RIVER RD, WHEELERSBURG, OH 45694-1918
(740) 574-9090
Mailing address
2000 GREEN RD, SUITE 300, ANN ARBOR, MI 48105-1598
(734) 995-3764
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
00063
OH
Other
Enumeration date
06/14/2006
Last updated
06/03/2008
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