Provider Demographics
NPI:1891067435
Name:PIORUN, ALITA LOUISE (LPN)
Entity Type:Individual
Prefix:MRS
First Name:ALITA
Middle Name:LOUISE
Last Name:PIORUN
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:MRS
Other - First Name:ALITA
Other - Middle Name:LOUISE
Other - Last Name:PIORUN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:16 CLYMER ST
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:NY
Mailing Address - Zip Code:13021-4710
Mailing Address - Country:US
Mailing Address - Phone:315-252-6684
Mailing Address - Fax:
Practice Address - Street 1:16 CLYMER ST
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:NY
Practice Address - Zip Code:13021-4710
Practice Address - Country:US
Practice Address - Phone:315-252-6684
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-28
Last Update Date:2012-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY255827164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse