STEPHANIE ANN IACONO APRN-CNP NPI 1417103136

NPI Information

NPI: 1417103136
Provider Name: STEPHANIE ANN IACONO, APRN-CNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: OSU SURGERY, LLC

PECOS Registration: Yes

Address:
2050 KENNY RD
COLUMBUS, OH
ZIP 43221
Phone: (614) 293-7171
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Stephanie Ann Iacono, APRN-CNP is a family nurse practitioner in Columbus, OH with 16 years of experience. Stephanie Ann Iacono, APRN-CNP NPI is 1417103136. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2050 KENNY RD
COLUMBUS, OH
ZIP 43221-502
Phone: (614) 293-7171
Fax: (614) 366-0003

The NPI 1417103136 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/13/2008 and was last updated on 12/17/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	APRN.CNP.10188	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3016328	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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