Provider Demographics
NPI:1285273938
Name:NAGEL, CAROL LYNN (FNP-CNP)
Entity type:Individual
Prefix:
First Name:CAROL
Middle Name:LYNN
Last Name:NAGEL
Suffix:
Gender:F
Credentials:FNP-CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3600 KOLBE ROAD SUITE 127
Mailing Address - Street 2:
Mailing Address - City:LORAIN
Mailing Address - State:OH
Mailing Address - Zip Code:44053-1694
Mailing Address - Country:US
Mailing Address - Phone:440-414-9200
Mailing Address - Fax:216-201-5582
Practice Address - Street 1:3600 KOLBE ROAD SUITE 127
Practice Address - Street 2:
Practice Address - City:LORAIN
Practice Address - State:OH
Practice Address - Zip Code:44053-1694
Practice Address - Country:US
Practice Address - Phone:440-414-9200
Practice Address - Fax:216-201-5582
Is Sole Proprietor?:No
Enumeration Date:2019-12-29
Last Update Date:2020-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.026074363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily