Provider Demographics
NPI:1245624485
Name:NATION, ANGELA (OMD)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:
Last Name:NATION
Suffix:
Gender:
Credentials:OMD
Other - Prefix:
Other - First Name:ANGELA
Other - Middle Name:
Other - Last Name:STUEBER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1481 W WARM SPRINGS
Mailing Address - Street 2:STE 129
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89014
Mailing Address - Country:US
Mailing Address - Phone:702-475-0870
Mailing Address - Fax:
Practice Address - Street 1:1481 W WARM SPRINGS RD STE 129
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89014-7636
Practice Address - Country:US
Practice Address - Phone:702-475-0870
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-25
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV1053171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist