Wagner, Angela Michelle

Wagner, Angela Michelle is an sole proprietor health care provider with primary practice located at 7723 Tylers Place Blvd # 215 , West Chester OH 45069-4684. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Wagner, Angela Michelle can be contacted via phone (513) 360-8089.

Contact Information

Primary practice address
7723 Tylers Place Blvd # 215 West Chester OH 45069-4684
Phone: (513) 360-8089
Fax: (949) 703-8469
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X APRNCNP0234 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 5011542 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APRN.CNP.023469 Ohio

Profile Details

NPI number 1679032163
LBN Legal business name Wagner, Angela Michelle
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 14th, 2019
Last updated May 19th, 2025 - about last year

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 1679032163 NPPES
Ohio Other APRN.CNP.023469 OHIO BOARD OF NURSING ADVANCED PRACTICE LICENSE
Ohio Other 5011542 OHIO BOARD OF NURSING ADVANCED PRACTICE LICENSE
Ohio Other 2018009202 OHIO BOARD OF NURSING ADVANCED PRACTICE LICENSE

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