Provider Demographics
NPI:1821366527
Name:DOBBINS-RIVERA, ANGELA MARIA (LPN)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:MARIA
Last Name:DOBBINS-RIVERA
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1308 AARONS WAY
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:OH
Mailing Address - Zip Code:44240-6928
Mailing Address - Country:US
Mailing Address - Phone:216-313-6701
Mailing Address - Fax:
Practice Address - Street 1:1308 AARONS WAY
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:OH
Practice Address - Zip Code:44240-6928
Practice Address - Country:US
Practice Address - Phone:216-313-6701
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-08
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN-121957 IV/MED164W00000X
OHCHW.002539172V00000X
374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No164W00000XNursing Service ProvidersLicensed Practical Nurse
No172V00000XOther Service ProvidersCommunity Health Worker