Provider Demographics
NPI:1023528882
Name:COX, ANGEL (RN)
Entity type:Individual
Prefix:
First Name:ANGEL
Middle Name:
Last Name:COX
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 614
Mailing Address - Street 2:
Mailing Address - City:IRONTON
Mailing Address - State:OH
Mailing Address - Zip Code:45638-0614
Mailing Address - Country:US
Mailing Address - Phone:740-442-7045
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 614
Practice Address - Street 2:
Practice Address - City:IRONTON
Practice Address - State:OH
Practice Address - Zip Code:45638-0614
Practice Address - Country:US
Practice Address - Phone:740-442-7045
Practice Address - Fax:740-442-7047
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-06
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.448476163WA0400X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WA0400XNursing Service ProvidersRegistered NurseAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0246523Medicaid