Provider Demographics
NPI:1497282081
Name:AIKENS, ANGELA D (CNP)
Entity Type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:D
Last Name:AIKENS
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 1:3341 CREEKSIDE TRAIL
Mailing Address - Street 2:
Mailing Address - City:CUYAHOGA FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44223
Mailing Address - Country:US
Mailing Address - Phone:614-264-8668
Mailing Address - Fax:
Practice Address - Street 1:4300 ALLEN ROAD STE 300
Practice Address - Street 2:
Practice Address - City:STOW
Practice Address - State:OH
Practice Address - Zip Code:44224-4234
Practice Address - Country:US
Practice Address - Phone:330-945-3179
Practice Address - Fax:330-945-3136
Is Sole Proprietor?:No
Enumeration Date:2017-05-15
Last Update Date:2020-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH020864363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health