Provider Demographics
NPI:1972059137
Name:JUNIEL, JUANITA (LPN)
Entity type:Individual
Prefix:MRS
First Name:JUANITA
Middle Name:
Last Name:JUNIEL
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:857 IONA AVE
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44314-2846
Mailing Address - Country:US
Mailing Address - Phone:330-937-0853
Mailing Address - Fax:
Practice Address - Street 1:857 IONA AVE
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44314-2846
Practice Address - Country:US
Practice Address - Phone:330-937-0853
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-28
Last Update Date:2016-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN077024164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse