Individual
CAROLYN BADENHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1601 BRIGHAM DR, SUITE 250, PERRYSBURG, OH 43551-7114
(419) 872-7745
(419) 874-7758
Mailing address
1601 BRIGHAM DR, SUITE 250, PERRYSBURG, OH 43551-7114
(419) 872-7745
(419) 874-7758
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
01446
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000378999
ANTHEM
OH
05
—
2239714
—
OH
01
—
500025100
RRMC
OH
Enumeration date
07/21/2005
Last updated
03/04/2016
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