Provider Demographics
NPI:1477233567
Name:PASEKA, GIANNA CHRISTA
Entity Type:Individual
Prefix:
First Name:GIANNA
Middle Name:CHRISTA
Last Name:PASEKA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 CRANBERRY LN
Mailing Address - Street 2:
Mailing Address - City:ELLINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06029-2431
Mailing Address - Country:US
Mailing Address - Phone:860-803-3117
Mailing Address - Fax:
Practice Address - Street 1:2 CRANBERRY LN
Practice Address - Street 2:
Practice Address - City:ELLINGTON
Practice Address - State:CT
Practice Address - Zip Code:06029-2431
Practice Address - Country:US
Practice Address - Phone:860-803-3117
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-24
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374700000XNursing Service Related ProvidersTechnician