Individual
MRS. ANGELA D HITCHCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
110 N POPLAR ST, MCCULLOUGH-HYDE MEMORIAL HOSPITAL ANESTHESIA DEPT, OXFORD, OH 45056-1204
(513) 524-5574
(513) 524-5559
Mailing address
PO BOX 20452, COLUMBUS, OH 43220-0452
(614) 442-2406
(614) 442-2410
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN242301
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000216113
ANTHEM
OH
01
—
200938010
INDIANA MEDICAID
IN
05
—
2226611
—
OH
01
—
P00818598
RR MCR
OH
Enumeration date
09/01/2006
Last updated
07/31/2023
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