Basic Information
| Provider Information | |||||||||
| NPI: | 1871073783 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | CSISZARIK | ||||||||
| FirstName: | PATRICIA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 560 JAMESON ST | ||||||||
| Address2: | |||||||||
| City: | ASHVILLE | ||||||||
| State: | OH | ||||||||
| PostalCode: | 431032510 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7404074610 | ||||||||
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| Practice Location | |||||||||
| Address1: | 3042 MCKINLEY AVE | ||||||||
| Address2: | |||||||||
| City: | COLUMBUS | ||||||||
| State: | OH | ||||||||
| PostalCode: | 432043653 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6144877805 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/20/2018 | ||||||||
| LastUpdateDate: | 08/20/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 164X00000X | LPN.140186.M.IV | OH | Y | Nursing Service Providers | Licensed Vocational Nurse |
No ID Information.