Provider Demographics
NPI:1134477607
Name:WEBBER, ANGELA J (MSN, FNP-C)
Entity Type:Individual
Prefix:MS
First Name:ANGELA
Middle Name:J
Last Name:WEBBER
Suffix:
Gender:F
Credentials:MSN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1733 MAPLE HILL DR
Mailing Address - Street 2:
Mailing Address - City:HINCKLEY
Mailing Address - State:OH
Mailing Address - Zip Code:44233-9501
Mailing Address - Country:US
Mailing Address - Phone:419-410-8925
Mailing Address - Fax:
Practice Address - Street 1:1733 MAPLE HILL DR
Practice Address - Street 2:
Practice Address - City:HINCKLEY
Practice Address - State:OH
Practice Address - Zip Code:44233-9501
Practice Address - Country:US
Practice Address - Phone:419-410-8925
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-15
Last Update Date:2019-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA.13606-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily