Provider Demographics
NPI:1508240896
Name:MIGLIOZZI, CATHERINE (FNP-C)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:
Last Name:MIGLIOZZI
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:
Other - Last Name:LILEAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-C
Mailing Address - Street 1:986 TIBBETS WICK RD.
Mailing Address - Street 2:
Mailing Address - City:GIRARD
Mailing Address - State:OH
Mailing Address - Zip Code:44420
Mailing Address - Country:US
Mailing Address - Phone:330-980-9009
Mailing Address - Fax:877-286-0177
Practice Address - Street 1:900 PINE AVE SE
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:OH
Practice Address - Zip Code:44483
Practice Address - Country:US
Practice Address - Phone:330-980-9009
Practice Address - Fax:877-286-0177
Is Sole Proprietor?:No
Enumeration Date:2015-07-16
Last Update Date:2020-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.17717363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily