Individual
ANGELA JO OCCIDENTAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
22442 STATE ROUTE 73, WEST PORTSMOUTH, OH 45663-6365
(740) 858-6656
Mailing address
22442 STATE ROUTE 73, WEST PORTSMOUTH, OH 45663-6365
(740) 858-6656
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.020877
OH
Other
Enumeration date
09/07/2017
Last updated
07/21/2022
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