Doctor Name: | ANGELA MARIE GAGER |
NPI Number: | 1306826292 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CNP |
License Number: | NP05762 |
Business Practice Address: | 855 W Maple St Ste. 110 Hartville, OH - 446329668 |
Business Phone Number: | 3308773616 |
Business Fax Number: | 3308771783 |
Mailing Address: | 855 W Maple St, Ste. 110 HARTVILLE |
State: | OH |
Postal Code: | 446329668 |
Phone Number: | 3308773616 |
Fax Number: | 3308771783 |
NPI Enumeration Date: | 01/18/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | NP05762 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |