Mika Norma Destasio

Case Manager/Care Coordinator · Ashtabula, OH

Individual Active NPI

NPI number 1508726720

Practice location

1212 Lake Ave
Ashtabula, OH 44004-2932
Phone
(330) 539-5200

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NPI record

NPI
1508726720
Entity type
Individual (Type 1)
Enumeration date
November 12, 2025
Last updated
November 12, 2025
Certified
November 12, 2025
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Case Manager/Care Coordinator Primary 171M00000X — —

Mailing address

1716 North Rd SE
Warren, OH 44484-2907
Phone
(330) 539-3200

About Mika Destasio

Mika Norma Destasio is a healthcare provider registered in the NPI registry with the primary taxonomy Case Manager/Care Coordinator (code 171M00000X). The practice location is 1212 Lake Ave, Ashtabula, OH 44004-2932. The NPI number 1508726720 was assigned on November 12, 2025 and the record was last updated on November 12, 2025.

Frequently asked questions

What is the NPI number of Mika Norma Destasio?

The NPI number is 1508726720.

What is the phone number of Mika Destasio?

The phone number listed for the practice location is (330) 539-5200.

Where is Mika Destasio located?

1212 Lake Ave, Ashtabula, OH 44004-2932.

What is the taxonomy code for Mika Destasio?

The primary taxonomy code is 171M00000X – Case Manager/Care Coordinator.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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