Provider Demographics
NPI:1568059111
Name:GIANAKOS, LEIGH ANN (RN, BSN)
Entity Type:Individual
Prefix:MRS
First Name:LEIGH
Middle Name:ANN
Last Name:GIANAKOS
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8954 STATE ROUTE 82
Mailing Address - Street 2:
Mailing Address - City:GARRETTSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44231-9475
Mailing Address - Country:US
Mailing Address - Phone:330-212-9648
Mailing Address - Fax:
Practice Address - Street 1:9849 BAYBERRY LN LOT 118
Practice Address - Street 2:
Practice Address - City:GARRETTSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44231-9645
Practice Address - Country:US
Practice Address - Phone:330-212-9648
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-29
Last Update Date:2020-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.482455163W00000X
OH6704203374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty
No163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty