Provider Demographics
NPI:1588369821
Name:SCIORTINO, DANIEL (MSN, APRN, PMHNP-BC)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:
Last Name:SCIORTINO
Suffix:
Gender:M
Credentials:MSN, APRN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1098
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:NC
Mailing Address - Zip Code:28034-1098
Mailing Address - Country:US
Mailing Address - Phone:330-798-0491
Mailing Address - Fax:727-800-2333
Practice Address - Street 1:25 N CANFIELD NILES RD STE 110
Practice Address - Street 2:
Practice Address - City:AUSTINTOWN
Practice Address - State:OH
Practice Address - Zip Code:44515-2332
Practice Address - Country:US
Practice Address - Phone:330-798-0491
Practice Address - Fax:330-303-4948
Is Sole Proprietor?:No
Enumeration Date:2023-04-04
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0033598363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health