Provider Demographics
NPI:1164061552
Name:DHEEL, MARGORY ANN (APRNNP-C)
Entity Type:Individual
Prefix:MRS
First Name:MARGORY
Middle Name:ANN
Last Name:DHEEL
Suffix:
Gender:F
Credentials:APRNNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 W SUNSET DR
Mailing Address - Street 2:
Mailing Address - City:RITTMAN
Mailing Address - State:OH
Mailing Address - Zip Code:44270-1324
Mailing Address - Country:US
Mailing Address - Phone:330-347-5105
Mailing Address - Fax:
Practice Address - Street 1:222 W SUNSET DR
Practice Address - Street 2:
Practice Address - City:RITTMAN
Practice Address - State:OH
Practice Address - Zip Code:44270-1324
Practice Address - Country:US
Practice Address - Phone:330-347-5105
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-02
Last Update Date:2020-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.025765363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily