Provider Demographics
NPI:1043082688
Name:APPUGLIESE, MIAH-SOPHIA
Entity Type:Individual
Prefix:
First Name:MIAH-SOPHIA
Middle Name:
Last Name:APPUGLIESE
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 1:2334 VENLOE DR
Mailing Address - Street 2:
Mailing Address - City:POLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44514-1745
Mailing Address - Country:US
Mailing Address - Phone:330-717-0806
Mailing Address - Fax:
Practice Address - Street 1:2334 VENLOE DR
Practice Address - Street 2:
Practice Address - City:POLAND
Practice Address - State:OH
Practice Address - Zip Code:44514-1745
Practice Address - Country:US
Practice Address - Phone:330-717-0806
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-26
Last Update Date:2023-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH451231163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool