Provider Demographics
NPI:1407428402
Name:SCALA, ANGELINA (CNP)
Entity Type:Individual
Prefix:
First Name:ANGELINA
Middle Name:
Last Name:SCALA
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:432 ASHFORD DR
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43082-7446
Mailing Address - Country:US
Mailing Address - Phone:152-048-1082
Mailing Address - Fax:
Practice Address - Street 1:92 N HIGH ST STE 260
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43017-1195
Practice Address - Country:US
Practice Address - Phone:520-481-0826
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-11
Last Update Date:2021-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAG06210088363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health