Individual
LAURA A MADDOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
3545 OLENTANGY RIVER RD STE 401, COLUMBUS, OH 43214-3993
(614) 261-0101
(614) 261-6087
Mailing address
1241 DUBLIN RD, COLUMBUS, OH 43215-7048
(614) 255-5349
(614) 467-2010
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
019958
OH
Other
Enumeration date
05/25/2017
Last updated
05/25/2017
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