Individual
MS. EDNA PEARL MACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
725 S MAPLE ST, LANCASTER, OH 43130-4843
(740) 689-9931
Mailing address
267 ADAMS ST, NELSONVILLE, OH 45764-1057
(740) 753-4664
(740) 753-4664
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN 208032
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2144101
—
OH
Enumeration date
02/04/2007
Last updated
07/09/2007
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