1700214848 NPI number — MS. SUSAN PATRICIA IORIO RN, NP-C

Table of content: MS. SUSAN PATRICIA IORIO RN, NP-C (NPI 1700214848)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1700214848 NPI number — MS. SUSAN PATRICIA IORIO RN, NP-C

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
IORIO
Provider First Name:
SUSAN
Provider Middle Name:
PATRICIA
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
RN, NP-C
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
FLOYD
Provider Other First Name:
SUSAN
Provider Other Middle Name:
PATRICIA
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
RN, NP-C
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1700214848
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/04/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
539 S. MAIN ST.
Provider Second Line Business Mailing Address:
MARATHON PETROLEUM COMPANY, LP
Provider Business Mailing Address City Name:
FINDLAY
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
45840
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
419-421-3160
Provider Business Mailing Address Fax Number:
419-421-4566

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
539 S. MAIN ST.
Provider Second Line Business Practice Location Address:
MARATHON PETROLEUM COMPANY LP
Provider Business Practice Location Address City Name:
FINDLAY
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
45840
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
419-421-3160
Provider Business Practice Location Address Fax Number:
419-421-4566
Provider Enumeration Date:
10/29/2013

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 163WX0106X , with the licence number:  RN133142 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 363LA2200X , with the licence number: AP4959 , registered in the state of AZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363LX0106X , with the licence number: CDA12287NP , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)