| Doctor Name: | SUSAN DIANE PICCIANO |
| NPI Number: | 1306078530 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CNP |
| License Number: | COA10852-NP |
| Business Practice Address: | 600 N Pickaway St Suite 300 Circleville, OH - 431131447 |
| Business Phone Number: | 7404208632 |
| Business Fax Number: | 7404208633 |
| Mailing Address: | 600 N Pickaway St, Suite 300 CIRCLEVILLE |
| State: | OH |
| Postal Code: | 431131447 |
| Phone Number: | 7404208632 |
| Fax Number: | 7404208633 |
| NPI Enumeration Date: | 08/21/2009 |
| NPI Last Update Date: | 01/31/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | COA10852-NP |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |