Provider Demographics
NPI:1588343057
Name:COWDRICK, ANGELA S
Entity type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:S
Last Name:COWDRICK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10664 REIDENBACH RD
Mailing Address - Street 2:
Mailing Address - City:VAN WERT
Mailing Address - State:OH
Mailing Address - Zip Code:45891-9710
Mailing Address - Country:US
Mailing Address - Phone:419-605-5565
Mailing Address - Fax:
Practice Address - Street 1:10664 REIDENBACH RD
Practice Address - Street 2:
Practice Address - City:VAN WERT
Practice Address - State:OH
Practice Address - Zip Code:45891-9710
Practice Address - Country:US
Practice Address - Phone:419-605-5565
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-12
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care