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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SUSAN C IANNICCA, CNP, RD

Active

SUSAN C IANNICCA, CNP, RD is a Nurse Practitioner healthcare provider located in HUDSON, Ohio. NPI 1366502304 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · HUDSON, OH

Registration Details

NPI Number
1366502304
Provider Type
Individual
Gender
Female
NPI Issued
Dec 11, 2006 (19.643017851127 yrs)
Last Updated
Aug 2, 2023
Licenses
LD5059 (OH)
RN286846 (OH)
NP07882 (OH)

Practice Information

Address
231 SEASONS RD
SUITE 200
HUDSON, OH, 44224
Browse OH providers · Browse ZIP 44224
Phone
3306505110
Fax
3306505115
Primary Specialty
Nurse Practitioner
363L00000X
Additional Specialty
Nurse Practitioner
Additional Specialty
Nurse Practitioner

Other Nurse Practitioner Providers in HUDSON, OH

Name Credential NPI
JOAN MARIE PASKERT C.P.N.P. 1649390410
COURTNEY ELIZABETH NOGA CNP 1033306774
JEFFREY EARL BRANHAM CNP 1518501428
LI WANG 1548876949
ANGELA MEDANCIC PNP 1235840729
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.