Individual
LAURA ANN MADISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1492 SHADOWOOD TRL, MAINEVILLE, OH 45039-5031
(513) 658-1416
Mailing address
1492 SHADOWOOD TRL, MAINEVILLE, OH 45039-5031
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
160474
OH
163W00000X
Registered Nurse
1153476
KY
163WE0003X
Emergency Registered Nurse
Primary
403769
OH
Other
Enumeration date
09/21/2017
Last updated
09/21/2017
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