Provider Demographics
NPI:1427896539
Name:ROUTSON, CIARA DARLENE
Entity type:Individual
Prefix:
First Name:CIARA
Middle Name:DARLENE
Last Name:ROUTSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2036 EDGEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45805-1128
Mailing Address - Country:US
Mailing Address - Phone:419-296-8853
Mailing Address - Fax:
Practice Address - Street 1:6600 RIDGE RD
Practice Address - Street 2:
Practice Address - City:ELIDA
Practice Address - State:OH
Practice Address - Zip Code:45807-8743
Practice Address - Country:US
Practice Address - Phone:419-296-8853
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-15
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No372600000XNursing Service Related ProvidersAdult Companion