Provider Demographics
NPI:1184863904
Name:ANDIO, PATRICIA IRENE (LPN)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:IRENE
Last Name:ANDIO
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4445 S TURNER RD
Mailing Address - Street 2:
Mailing Address - City:CANFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44406-9705
Mailing Address - Country:US
Mailing Address - Phone:330-702-1832
Mailing Address - Fax:
Practice Address - Street 1:4445 S TURNER RD
Practice Address - Street 2:
Practice Address - City:CANFIELD
Practice Address - State:OH
Practice Address - Zip Code:44406-9705
Practice Address - Country:US
Practice Address - Phone:330-702-1832
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-18
Last Update Date:2009-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN 106078164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse