Provider Demographics
NPI:1295996825
Name:MACAIONE, ERIN JOY (LPN)
Entity type:Individual
Prefix:MS
First Name:ERIN
Middle Name:JOY
Last Name:MACAIONE
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:MISS
Other - First Name:ERIN
Other - Middle Name:JOY
Other - Last Name:MACAIONE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9613 TABERNA LN
Mailing Address - Street 2:
Mailing Address - City:OLMSTED TWP
Mailing Address - State:OH
Mailing Address - Zip Code:44138-4260
Mailing Address - Country:US
Mailing Address - Phone:330-614-4093
Mailing Address - Fax:
Practice Address - Street 1:9613 TABERNA LN
Practice Address - Street 2:
Practice Address - City:OLMSTED TWP
Practice Address - State:OH
Practice Address - Zip Code:44138-4260
Practice Address - Country:US
Practice Address - Phone:330-614-4093
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-17
Last Update Date:2016-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN111219164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHPN111219OtherLPN NUMBER