MEDICARE: MS. MADHAVI C SAXENA CNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2100X	Acute Care Nurse Practitioner	COA13448NP	OH

General Provider Information

NPI Number	:	1730424433
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MADHAVI C SAXENA CNP

Provider Business Mailing Address
First Line	:	11193 WOODLANDS WAY
Second Line	:
City	:	BLUE ASH
State	:	OH
Zip	:	45241-2437
Country	:	US
Telephone Number	:	513-266-5848
Fax Number	:

Provider Business Practice Location Address
First Line	:	7625 CAMARGO RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45243-3107
Country	:	US
Telephone Number	:	513-528-8150
Fax Number	:	513-528-8151

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/06/2012
Last Update Date	:	10/29/2014

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