Provider Demographics
NPI:1730434770
Name:GIAMBATTISTA, GINA M (RN)
Entity type:Individual
Prefix:
First Name:GINA
Middle Name:M
Last Name:GIAMBATTISTA
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 1:695 E WESTERN RESERVE RD
Mailing Address - Street 2:UNIT 2204
Mailing Address - City:POLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44514-4310
Mailing Address - Country:US
Mailing Address - Phone:330-726-3470
Mailing Address - Fax:
Practice Address - Street 1:695 E WESTERN RESERVE RD
Practice Address - Street 2:UNIT 2204
Practice Address - City:POLAND
Practice Address - State:OH
Practice Address - Zip Code:44514-4310
Practice Address - Country:US
Practice Address - Phone:330-726-3470
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-16
Last Update Date:2012-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH259335163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse