Provider Demographics
NPI:1184718330
Name:SZUCH, ANGELINA JOHNSON (NP)
Entity type:Individual
Prefix:
First Name:ANGELINA
Middle Name:JOHNSON
Last Name:SZUCH
Suffix:
Gender:
Credentials:NP
Other - Prefix:
Other - First Name:ANGELINA
Other - Middle Name:
Other - Last Name:BAKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:PO BOX 483
Mailing Address - Street 2:
Mailing Address - City:NOLENSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37135-0483
Mailing Address - Country:US
Mailing Address - Phone:615-593-3556
Mailing Address - Fax:615-468-7994
Practice Address - Street 1:3715 HILLSBORO PIKE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37215-2117
Practice Address - Country:US
Practice Address - Phone:866-389-2727
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA24178734363LF0000X
COC-RXN-0000793-C-NP363LF0000X
TXAP144274363LF0000X
OHAPRN.CNP.025675363LF0000X
FL11001086363LF0000X, 363LF0000X
NYF347065-01363LF0000X
IAA162620363LF0000X
TN0000012237363LF0000X
TNAPN0000012237363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
33411482Medicare PIN