MEDICARE: MARY ANN GIANNINI CNP

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	3747P1801X	Personal Care Attendant		OH
2	363LA2200X	Adult Health Nurse Practitioner	12819-NP	OH
3	347C00000X	Private Vehicle		OH

General Provider Information

NPI Number	:	1659641223
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY ANN GIANNINI CNP

Provider Business Mailing Address
First Line	:	5757 MONCLOVA RD
Second Line	:
City	:	MAUMEE
State	:	OH
Zip	:	43537-1863
Country	:	US
Telephone Number	:	419-383-7400
Fax Number	:

Provider Business Practice Location Address
First Line	:	5757 MONCLOVA RD
Second Line	:
City	:	MAUMEE
State	:	OH
Zip	:	43537-1863
Country	:	US
Telephone Number	:	419-383-7400
Fax Number	:

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

Provider Enumeration Date	:	01/12/2012
Last Update Date	:	05/25/2026

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