Provider Demographics
NPI:1912710104
Name:CAGLE, CARMELA (REGISTERED NURSE)
Entity type:Individual
Prefix:MRS
First Name:CARMELA
Middle Name:
Last Name:CAGLE
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7690 DISCOVERY DR UNIT 3900
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-6558
Mailing Address - Country:US
Mailing Address - Phone:513-475-7998
Mailing Address - Fax:513-475-8271
Practice Address - Street 1:7690 DISCOVERY DR UNIT 3900
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-6558
Practice Address - Country:US
Practice Address - Phone:513-475-7998
Practice Address - Fax:513-475-8271
Is Sole Proprietor?:No
Enumeration Date:2025-01-30
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN235542163WP2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care