Provider Demographics
NPI:1033358882
Name:FAULHABER, ANGELA TERESE (CNP)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:TERESE
Last Name:FAULHABER
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:ANGELA
Other - Middle Name:TERESA
Other - Last Name:ABBRUZZESE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNP
Mailing Address - Street 1:3333 BURNET AVE
Mailing Address - Street 2:ML 11013
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45229-3026
Mailing Address - Country:US
Mailing Address - Phone:513-636-7179
Mailing Address - Fax:513-636-8929
Practice Address - Street 1:3333 BURNET AVE
Practice Address - Street 2:ML 11013
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45229-3026
Practice Address - Country:US
Practice Address - Phone:513-636-7179
Practice Address - Fax:513-636-8929
Is Sole Proprietor?:No
Enumeration Date:2009-02-18
Last Update Date:2020-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.10620363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner