Provider Demographics
NPI:1174406375
Name:COMBS, ANGELA MARIE TRUDEAU (RN)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:MARIE TRUDEAU
Last Name:COMBS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1824 10TH AVE S
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-5477
Mailing Address - Country:US
Mailing Address - Phone:810-599-4255
Mailing Address - Fax:
Practice Address - Street 1:5305 ELLIOTT DR.
Practice Address - Street 2:1B-50
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197
Practice Address - Country:US
Practice Address - Phone:734-712-8766
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-28
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN285887163W00000X
MI4704319059163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse