MEDICARE: MS. ERIN JOY MACAIONE LPN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	164W00000X	Licensed Practical Nurse	PN111219	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	PN111219	OTHER	OH	LPN NUMBER

General Provider Information

NPI Number	:	1295996825
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ERIN JOY MACAIONE LPN

Provider Business Mailing Address
First Line	:	9613 TABERNA LN
Second Line	:
City	:	OLMSTED TWP
State	:	OH
Zip	:	44138-4260
Country	:	US
Telephone Number	:	330-614-4093
Fax Number	:

Provider Business Practice Location Address
First Line	:	9613 TABERNA LN
Second Line	:
City	:	OLMSTED TWP
State	:	OH
Zip	:	44138-4260
Country	:	US
Telephone Number	:	330-614-4093
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/17/2008
Last Update Date	:	04/29/2016

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