Provider Demographics
NPI:1518671585
Name:CHIRGOTT, POLIXENI (RN, BSN, APRN)
Entity Type:Individual
Prefix:MS
First Name:POLIXENI
Middle Name:
Last Name:CHIRGOTT
Suffix:
Gender:F
Credentials:RN, BSN, APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 SUMMITT ST
Mailing Address - Street 2:
Mailing Address - City:ALIQUIPPA
Mailing Address - State:PA
Mailing Address - Zip Code:15001-1726
Mailing Address - Country:US
Mailing Address - Phone:724-650-5414
Mailing Address - Fax:
Practice Address - Street 1:112 W WESTERN RESERVE RD STE B
Practice Address - Street 2:
Practice Address - City:POLAND
Practice Address - State:OH
Practice Address - Zip Code:44514-3522
Practice Address - Country:US
Practice Address - Phone:330-423-2114
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-13
Last Update Date:2023-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0032967363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA30642129OtherDRIVER'S LICENSE