Provider Demographics
NPI:1033815238
Name:VIZZINI, PAIGE E
Entity Type:Individual
Prefix:
First Name:PAIGE
Middle Name:E
Last Name:VIZZINI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:229 EDNA ST
Mailing Address - Street 2:
Mailing Address - City:POLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44514-3705
Mailing Address - Country:US
Mailing Address - Phone:330-506-8859
Mailing Address - Fax:
Practice Address - Street 1:229 EDNA ST
Practice Address - Street 2:
Practice Address - City:POLAND
Practice Address - State:OH
Practice Address - Zip Code:44514-3705
Practice Address - Country:US
Practice Address - Phone:330-506-8859
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-31
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No172A00000XOther Service ProvidersDriver