Provider Demographics
NPI:1619218500
Name:MURAWSKI, ANGELA K (CPNP-PC)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:K
Last Name:MURAWSKI
Suffix:
Gender:F
Credentials:CPNP-PC
Other - Prefix:
Other - First Name:ANGELA
Other - Middle Name:PEARL
Other - Last Name:KAUFMANN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CPNP-PC
Mailing Address - Street 1:2351 STANLEY AVE
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45404-1201
Mailing Address - Country:US
Mailing Address - Phone:379-228-0990
Mailing Address - Fax:
Practice Address - Street 1:2351 STANLEY AVE
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45404-1201
Practice Address - Country:US
Practice Address - Phone:937-228-0990
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-03
Last Update Date:2022-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2277351163W00000X, 363LP0200X
MDR225087163W00000X, 363LP0200X
OHAPRN.CNP.0028641363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No163W00000XNursing Service ProvidersRegistered Nurse