Provider Demographics
NPI:1316521180
Name:PADRUTT, SIU TING (RN)
Entity type:Individual
Prefix:
First Name:SIU
Middle Name:TING
Last Name:PADRUTT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:SIU
Other - Middle Name:TING
Other - Last Name:SCEBBI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:1834 STINE RD
Mailing Address - Street 2:
Mailing Address - City:PENINSULA
Mailing Address - State:OH
Mailing Address - Zip Code:44264-9506
Mailing Address - Country:US
Mailing Address - Phone:440-409-8053
Mailing Address - Fax:
Practice Address - Street 1:1834 STINE RD
Practice Address - Street 2:
Practice Address - City:PENINSULA
Practice Address - State:OH
Practice Address - Zip Code:44264-9506
Practice Address - Country:US
Practice Address - Phone:440-409-8053
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-07
Last Update Date:2021-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH405642163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse