Individual
MRS. BEVERLY ANN MADDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1501 COUNTY ROAD 181, IRONTON, OH 45638-9077
(740) 533-1970
Mailing address
1501 COUNTY ROAD 181, IRONTON, OH 45638-9077
(740) 533-1970
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.070572
OH
Other
Enumeration date
12/19/2007
Last updated
12/19/2007
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