Healthcare Provider Details

I. General information

NPI: 1295878940
Provider Name (Legal Business Name): ANNAMARIE D'ORAZIO-SKOWRONSKI DNP CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/14/2007
Last Update Date: 10/01/2022
Certification Date: 10/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 DEVON PL SUITE 215
KENT OH
44240-6482
US

IV. Provider business mailing address

7490 STATE ROUTE 82
GARRETTSVILLE OH
44231-9208
US

V. Phone/Fax

Practice location:
  • Phone: 330-672-9501
  • Fax: 330-673-8204
Mailing address:
  • Phone: 330-527-2977
  • Fax: 330-527-4368

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN01329
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberNP-01329
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN-247840
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: