Provider Demographics
NPI:1386751295
Name:IANIRO, JOY JEAN (NURSE PRACTITIONER)
Entity type:Individual
Prefix:MRS
First Name:JOY
Middle Name:JEAN
Last Name:IANIRO
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11728 EAST HILL DR
Mailing Address - Street 2:
Mailing Address - City:CHESTERLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44026-1718
Mailing Address - Country:US
Mailing Address - Phone:440-729-0583
Mailing Address - Fax:
Practice Address - Street 1:36100 EUCLID AVE
Practice Address - Street 2:120
Practice Address - City:WILLOUGHBY
Practice Address - State:OH
Practice Address - Zip Code:44094
Practice Address - Country:US
Practice Address - Phone:440-951-8360
Practice Address - Fax:440-951-9408
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN143427363L00000X
OHNP02185363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHNP05901Medicare ID - Type Unspecified
P08369Medicare UPIN