Provider Demographics
NPI:1700219292
Name:CIANI, DAIL ANN (NP-C)
Entity Type:Individual
Prefix:
First Name:DAIL
Middle Name:ANN
Last Name:CIANI
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:36100 EUCLID AVENUE
Mailing Address - Street 2:SUITE 170
Mailing Address - City:WILLOUGHBY
Mailing Address - State:OH
Mailing Address - Zip Code:44094
Mailing Address - Country:US
Mailing Address - Phone:440-602-6737
Mailing Address - Fax:440-942-0316
Practice Address - Street 1:36100 EUCLID AVENUE
Practice Address - Street 2:SUITE 170
Practice Address - City:WILLOUGHBY
Practice Address - State:OH
Practice Address - Zip Code:44094
Practice Address - Country:US
Practice Address - Phone:440-602-6737
Practice Address - Fax:440-942-0316
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-20
Last Update Date:2022-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.15001363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0094450Medicaid
OH12625151OtherCAQH
OH0094450Medicaid