Individual
AMANDA DANIELLE ANGUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA, PMHNP
Contact information
Practice address
150 7TH AVE, CHARDON, OH 44024-2908
(440) 285-2900
Mailing address
356 MINER RD, HIGHLAND HTS, OH 44143-1537
(855) 205-0220
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APRN.CNP.0040762
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
COA15713-NA
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
MEDICARE PTAN
OH
05
—
PENDING
—
OH
Enumeration date
02/24/2014
Last updated
03/26/2026
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