NPI 1083418321

Angelica Waller

Practitioner Supports Brokerage Agency Cincinnati, OH

Practice location

Address: 463 Dewdrop Cir APT a, Cincinnati, OH 45240-3792
Phone: (513) 258-1191

Registered specialties (6)

Supports Brokerage Agency Primary

Agencies Taxonomy 251X00000X

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In Home Supportive Care Agency

Agencies Taxonomy 253Z00000X

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Driver

Other Service Providers Taxonomy 172A00000X

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Private Vehicle

Transportation Services Taxonomy 347C00000X

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Personal Care Attendant

Nursing Service Related Providers Taxonomy 3747P1801X

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Homemaker

Nursing Service Related Providers Taxonomy 376J00000X

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Registry record

NPI: 1083418321
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Apr 2025
Record last updated: 3 Apr 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.