Provider Demographics
NPI:1720774201
Name:RAZIANO, JEANNE-MARIE
Entity type:Individual
Prefix:
First Name:JEANNE-MARIE
Middle Name:
Last Name:RAZIANO
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 1:1301 N HARRISON ST STE 102
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19806-3163
Mailing Address - Country:US
Mailing Address - Phone:302-358-5595
Mailing Address - Fax:785-414-5374
Practice Address - Street 1:1301 N HARRISON ST STE 102
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19806-3163
Practice Address - Country:US
Practice Address - Phone:302-358-5595
Practice Address - Fax:785-414-5374
Is Sole Proprietor?:No
Enumeration Date:2023-04-17
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
No146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, Paramedic
No156F00000XEye and Vision Services ProvidersTechnician/Technologist
No171400000XOther Service ProvidersHealth & Wellness Coach
No174400000XOther Service ProvidersSpecialist
No174H00000XOther Service ProvidersHealth Educator
No183700000XPharmacy Service ProvidersPharmacy Technician
No246RM2200XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyMedical Laboratory
No246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy
No246ZE0500XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherEEG
No247000000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Health Information
No374700000XNursing Service Related ProvidersTechnician
Provider Identifiers
StateIdentifier IDID TypeIssuer
189173417OtherNPI