Prickett, Angela Marie

Prickett, Angela Marie is an individual health care provider with primary practice located at 3700 Southern Blvd Ste 300 , Kettering OH 45429-1265. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Prickett, Angela Marie can be contacted via phone (937) 643-9299.

Contact Information

Primary practice address
3700 Southern Blvd Ste 300 Kettering OH 45429-1265
Phone: (937) 643-9299
Fax: (937) 643-2343
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X COA.10951-NP Ohio
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X APRN.CNP.10951 Ohio

Profile Details

NPI number 1982937413
LBN Legal business name Prickett, Angela Marie
Credentials N.P.-C
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2009
Last updated Jul 9th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982937413 NPPES
Ohio MEDICAID 0081729

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