Provider Demographics
NPI:1871738856
Name:DANGELO, SARAH LIZA (RN, BSN, MSN, NP-C)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:LIZA
Last Name:DANGELO
Suffix:
Gender:F
Credentials:RN, BSN, MSN, NP-C
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:LIZA
Other - Last Name:WISE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:611 W MARKET ST
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44303-1411
Mailing Address - Country:US
Mailing Address - Phone:216-538-3321
Mailing Address - Fax:
Practice Address - Street 1:611 W MARKET ST
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44303-1411
Practice Address - Country:US
Practice Address - Phone:216-538-3321
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-05
Last Update Date:2021-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH10390363LF0000X
OHCOA.10390-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily