Provider Demographics
NPI:1336296581
Name:VECCHIO, PAULA JILL (REGISTERED NURSE)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:JILL
Last Name:VECCHIO
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7370 STATE ROUTE 46
Mailing Address - Street 2:
Mailing Address - City:CORTLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44410-9610
Mailing Address - Country:US
Mailing Address - Phone:330-637-8130
Mailing Address - Fax:330-637-8130
Practice Address - Street 1:7370 STATE ROUTE 46
Practice Address - Street 2:
Practice Address - City:CORTLAND
Practice Address - State:OH
Practice Address - Zip Code:44410-9610
Practice Address - Country:US
Practice Address - Phone:330-637-8130
Practice Address - Fax:330-637-8130
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN202715163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical