Individual
JENNIFER MADASZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN- CNP
Contact information
Practice address
8146 TIMOTHY LN, SYLVANIA, OH 43560-1079
(567) 408-1496
(567) 600-5698
Mailing address
8146 TIMOTHY LN, SYLVANIA, OH 43560-1079
(567) 408-1496
(567) 600-5698
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP14294
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0084478
—
OH
01
—
H198720
MEDICARE PIN
OH
Enumeration date
02/21/2013
Last updated
11/10/2022
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