Provider Demographics
NPI:1386256139
Name:MARGIOTTA, GIANNA RAE (DSP, HHA)
Entity type:Individual
Prefix:MRS
First Name:GIANNA
Middle Name:RAE
Last Name:MARGIOTTA
Suffix:
Gender:F
Credentials:DSP, HHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:132 ENGLEWOOD RD
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45504-1415
Mailing Address - Country:US
Mailing Address - Phone:937-727-2179
Mailing Address - Fax:
Practice Address - Street 1:132 ENGLEWOOD RD
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:OH
Practice Address - Zip Code:45504-1415
Practice Address - Country:US
Practice Address - Phone:937-727-2179
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-21
Last Update Date:2020-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3651885376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide