Provider Demographics
NPI:1932282910
Name:ANGUS, DIANA J (CNP, MS, BC)
Entity Type:Individual
Prefix:MS
First Name:DIANA
Middle Name:J
Last Name:ANGUS
Suffix:
Gender:F
Credentials:CNP, MS, BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:871 TROON TRL
Mailing Address - Street 2:
Mailing Address - City:WORTHINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43085-2929
Mailing Address - Country:US
Mailing Address - Phone:614-847-5857
Mailing Address - Fax:
Practice Address - Street 1:849 HARMON AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43223-2411
Practice Address - Country:US
Practice Address - Phone:614-221-6870
Practice Address - Fax:614-221-6890
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2008-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHNP-3326363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health