Individual
TABATHA ANGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
770 BALGREEN DR STE 207, MANSFIELD, OH 44906-4106
(419) 522-6800
(419) 525-6723
Mailing address
600 W 3RD ST, MANSFIELD, OH 44906-2633
(419) 522-6191
(419) 526-7939
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
COA-18150-NP
OH
Other
Enumeration date
10/06/2015
Last updated
12/22/2021
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