Provider Demographics
NPI:1063294817
Name:DENGER, ANGELA MARIE (RN)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:MARIE
Last Name:DENGER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1206 GREENWICH MILAN TOWNLINE RD
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:OH
Mailing Address - Zip Code:44857-9280
Mailing Address - Country:US
Mailing Address - Phone:419-921-5531
Mailing Address - Fax:
Practice Address - Street 1:1206 GREENWICH MILAN TOWNLINE RD
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:OH
Practice Address - Zip Code:44857-9280
Practice Address - Country:US
Practice Address - Phone:419-921-5531
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-17
Last Update Date:2023-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.518055163WC0400X
376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker
No163WC0400XNursing Service ProvidersRegistered NurseCase Management