Provider Demographics
NPI:1245810480
Name:SCARANO, GIANNA MARIA (RN)
Entity type:Individual
Prefix:
First Name:GIANNA
Middle Name:MARIA
Last Name:SCARANO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1836 KINGFISHER LANE
Mailing Address - Street 2:
Mailing Address - City:AVILA BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:93424-2199
Mailing Address - Country:US
Mailing Address - Phone:808-937-1961
Mailing Address - Fax:
Practice Address - Street 1:1251 JOHNSON AVE
Practice Address - Street 2:
Practice Address - City:SAN LUIS OBISPO
Practice Address - State:CA
Practice Address - Zip Code:93401-3306
Practice Address - Country:US
Practice Address - Phone:805-545-0655
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-12
Last Update Date:2021-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95236751163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse