Individual
LINDA R VADERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
3700 SOUTHERN BLVD STE 401, KETTERING, OH 45429-1265
(855) 500-2873
(937) 281-3913
Mailing address
1611 W QUEEN ST, EDENTON, NC 27932-9210
(765) 412-1448
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
COA10798 NP
OH
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN.CNP.10798
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1811945041
NPI
OH
05
—
3107239
—
OH
Enumeration date
05/04/2006
Last updated
10/03/2025
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