Provider Demographics
NPI:1972996445
Name:PAIMA, ANGELA R (FNP)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:R
Last Name:PAIMA
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2460 ASBURY CHAPEL RD
Mailing Address - Street 2:
Mailing Address - City:ZANESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43701-9339
Mailing Address - Country:US
Mailing Address - Phone:740-787-2052
Mailing Address - Fax:
Practice Address - Street 1:101 W DAVE LONGABERGER AVE STE A
Practice Address - Street 2:
Practice Address - City:DRESDEN
Practice Address - State:OH
Practice Address - Zip Code:43821-9490
Practice Address - Country:US
Practice Address - Phone:740-565-4103
Practice Address - Fax:740-565-4293
Is Sole Proprietor?:No
Enumeration Date:2015-03-09
Last Update Date:2021-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA.017142.NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0120713Medicaid