Individual
MICHAEL JOSEPH MAGGIO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN, PMHNP-BC
Contact information
Practice address
8577 E MARKET ST, WARREN, OH 44484-2345
(330) 856-6663
(330) 856-1581
Mailing address
2980 BELMONT AVE, YOUNGSTOWN, OH 44505-1834
(330) 759-0276
(330) 759-0030
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.420964
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.0027245
OH
Other
Enumeration date
07/29/2019
Last updated
09/16/2020
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