DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. MARY THERESA MADDOX

Active Sole Proprietor

MRS. MARY THERESA MADDOX is a Licensed Practical Nurse healthcare provider located in EUCLID, Ohio. NPI 1003152455 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · EUCLID, OH

Registration Details

NPI Number
1003152455
Provider Type
Individual
Gender
Female
NPI Issued
Dec 12, 2012 (13.676722513749 yrs)
Last Updated
Dec 12, 2012
License
PN-149664-M-IV (OH)
Sole Proprietor
Yes

Practice Information

Address
24740 DEVOE AVE
EUCLID, OH, 441232238
Browse OH providers · Browse ZIP 44123
Phone
2163221577
Primary Specialty
Licensed Practical Nurse
164W00000X

Other Licensed Practical Nurse Providers in EUCLID, OH

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.