Provider Demographics
NPI:1063006955
Name:PAGANO, MARIA (RN)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:PAGANO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 W KEMPER RD STE B
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45246-2530
Mailing Address - Country:US
Mailing Address - Phone:513-671-0500
Mailing Address - Fax:
Practice Address - Street 1:140 W KEMPER RD STE B
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45246-2530
Practice Address - Country:US
Practice Address - Phone:513-671-0500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-22
Last Update Date:2021-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH395125163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse