Provider Demographics
NPI:1790455988
Name:NATION, IEUAN (AT)
Entity Type:Individual
Prefix:
First Name:IEUAN
Middle Name:
Last Name:NATION
Suffix:
Gender:M
Credentials:AT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9286 THOMAS CT
Mailing Address - Street 2:
Mailing Address - City:MENTOR
Mailing Address - State:OH
Mailing Address - Zip Code:44060-1729
Mailing Address - Country:US
Mailing Address - Phone:407-375-6591
Mailing Address - Fax:
Practice Address - Street 1:4545 COLLEGE RD
Practice Address - Street 2:
Practice Address - City:SOUTH EUCLID
Practice Address - State:OH
Practice Address - Zip Code:44121-4228
Practice Address - Country:US
Practice Address - Phone:407-375-6591
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-17
Last Update Date:2023-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer