Diana Asaturyan

Individual provider Active NPI Licensed Practical Nurse · Macedonia, OH

NPI 1003363193 · NPPES record last updated Sep 6, 2016

Key facts

NPI
1003363193
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
LPN.134469.MEDS-IV (OH)
Practice address
401 Preserve LN
Macedonia, OH 44056-1797
Phone
(440) 567-2708
NPI assigned
Sep 6, 2016
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
LPN.134469.MEDS-IVOHMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LPN.134469.MEDS-IV OH Yes

Addresses

Primary practice location

401 Preserve LN
Macedonia, OH 44056-1797

Mailing address

401 Preserve LN
Macedonia, OH 44056-1797
Phone (440) 567-2708

Other providers in Macedonia, OH

All providers in Macedonia, OH · Licensed Practical Nurse in Ohio

Sources for this page

Verify at the official NPI Registry.