Individual
ANGELA SUE MAHAFFEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-C FNP-C
Contact information
Practice address
8200 STATE ROUTE 366 STE 1, RUSSELLS POINT, OH 43348-9670
(937) 599-1411
(937) 599-4128
Mailing address
8200 STATE ROUTE 366 STE 1, RUSSELLS POINT, OH 43348-9670
(937) 599-1411
(937) 599-4128
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.0028360
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APRN.CNP.0028360
BOARD OF NURSING-OH
OH
Enumeration date
05/09/2019
Last updated
08/03/2021
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