Provider Demographics
NPI:1396830188
Name:SZAROLETA, SUSAN A (RNFA)
Entity Type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:A
Last Name:SZAROLETA
Suffix:
Gender:F
Credentials:RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 REGENCY COURT
Mailing Address - Street 2:SUITE 204
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43623
Mailing Address - Country:US
Mailing Address - Phone:419-720-2008
Mailing Address - Fax:419-720-2009
Practice Address - Street 1:2000 REGENCY COURT
Practice Address - Street 2:SUITE 204
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43623
Practice Address - Country:US
Practice Address - Phone:419-720-2008
Practice Address - Fax:419-720-2009
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2017-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN 180858163WS0121X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0121XNursing Service ProvidersRegistered NursePlastic Surgery