Provider Demographics
NPI:1215374962
Name:SIMONE, SILVANA (LPN)
Entity Type:Individual
Prefix:
First Name:SILVANA
Middle Name:
Last Name:SIMONE
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 1:906 N HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:GIRARD
Mailing Address - State:OH
Mailing Address - Zip Code:44420-2024
Mailing Address - Country:US
Mailing Address - Phone:330-507-7157
Mailing Address - Fax:
Practice Address - Street 1:906 N HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:GIRARD
Practice Address - State:OH
Practice Address - Zip Code:44420-2024
Practice Address - Country:US
Practice Address - Phone:330-507-7157
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-03
Last Update Date:2013-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN.141637-M-IV164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse