Individual
BETH BRADDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
15116 GIBSON RD, ASHVILLE, OH 43103-9663
(740) 804-2756
Mailing address
15116 GIBSON RD, ASHVILLE, OH 43103-9663
(740) 804-2756
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
LE-00035424
OH
Other
Enumeration date
01/29/2021
Last updated
01/29/2021
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