Individual
ANGELA ETEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
4700 E GALBRAITH RD STE 301, CINCINNATI, OH 45236
(502) 327-9100
Mailing address
6111 OAK TREE BLVD, STE 301, INDEPENDENCE, OH 44131-2585
(513) 807-6659
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.022105
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14285927
CAQH
—
Enumeration date
01/27/2018
Last updated
09/10/2019
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