Provider Demographics
NPI:1730314246
Name:HAMBY, ANGELINA ANNETTE (STNA)
Entity Type:Individual
Prefix:MRS
First Name:ANGELINA
Middle Name:ANNETTE
Last Name:HAMBY
Suffix:
Gender:F
Credentials:STNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1023 LONDON GROVEPORT RD
Mailing Address - Street 2:
Mailing Address - City:GROVE CITY
Mailing Address - State:OH
Mailing Address - Zip Code:43123-8971
Mailing Address - Country:US
Mailing Address - Phone:614-875-5926
Mailing Address - Fax:614-875-5926
Practice Address - Street 1:3100 LONGRIDGE WAY
Practice Address - Street 2:
Practice Address - City:GROVE CITY
Practice Address - State:OH
Practice Address - Zip Code:43123-9772
Practice Address - Country:US
Practice Address - Phone:614-801-1166
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-28
Last Update Date:2009-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH400546851006376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide