Organization
CORNERSTONE CLINICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA MADU (NURSE PRACTITIONER)
(740) 414-0111
Entity
Organization
Contact information
Practice address
802 CLARE AVE STE 101, PORTSMOUTH, OH 45662-2583
(740) 414-0111
Mailing address
802 CLARE AVE STE 101, PORTSMOUTH, OH 45662-2583
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
35.088677
OH
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
35.127057
OH
363LF0000X
Family Nurse Practitioner
APRN.CNP.15280
OH
Other
Enumeration date
07/11/2017
Last updated
07/11/2017
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