Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | COA16497 | OH |
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | APRN.CNP.16497 | OH |
NPI | 1013318831 |
---|---|
Provider Name | Mrs. Angela Jacqueline Tolone |
First Address | Cleveland, OH 44195-3438 |
Second Address | Cleveland, OH 44195-3438 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/09/2014 |
Last Update Date | 29/09/2016 |