MRS. MARY THERESA MADDOX NPI 1003152455

NPI Information

NPI: 1003152455
Provider Name: MRS. MARY THERESA MADDOX
Classification: Licensed Practical Nurse - 164W00000X
Entity Type: Individual
Address:
24740 DEVOE AVE
EUCLID, OH
ZIP 44123
Phone: (216) 322-1577
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MRS. Mary Theresa Maddox is a licensed practical nurse in Euclid, OH. The provider is a licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. MRS. Mary Theresa Maddox NPI is 1003152455. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

24740 DEVOE AVE
EUCLID, OH
ZIP 44123-238
Phone: (216) 322-1577

The enumeration date for this NPI number is 12/12/2012 and was last updated on 12/12/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	164W00000X	Licensed Practical Nurse		PN-149664-M-IV	OHIO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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