Individual
SUSAN DIANE PICCIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
600 N PICKAWAY ST, SUITE 300, CIRCLEVILLE, OH 43113-1447
(740) 420-8632
(740) 420-8633
Mailing address
600 N PICKAWAY ST, SUITE 300, CIRCLEVILLE, OH 43113-1447
(740) 420-8632
(740) 420-8633
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
COA10852-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2985962
—
OH
Enumeration date
08/21/2009
Last updated
01/31/2013
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