Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | APRN.CNP026490 | OH |
NPI | 1124634605 |
---|---|
Provider Name | Angela Marie Garland |
First Address | Cincinnati, OH 45233-5104 |
Second Address | Cincinnati, OH 45233-5104 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2020 |
Last Update Date | 25/04/2021 |