Individual
MRS. MARY C GIARDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1011 BOARDMAN CANFIELD RD, YOUNGSTOWN, OH 44512-4226
(330) 629-2888
(330) 629-8940
Mailing address
1011 BOARDMAN CANFIELD RD, YOUNGSTOWN, OH 44512-4226
(330) 629-2888
(330) 629-8940
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN-151336
OH
363L00000X
Nurse Practitioner
RN-S99532
OH
363LA2200X
Adult Health Nurse Practitioner
Primary
00552-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2209238
—
OH
01
—
283517
ANTHEM
OH
Enumeration date
03/01/2006
Last updated
07/23/2015
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