Healthcare Provider Details

I. General information

NPI: 1700747219
Provider Name (Legal Business Name): MADISON NICOLE HUBER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/24/2025
Last Update Date: 11/24/2025
Certification Date: 11/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8271 CORNELL RD STE 730
CINCINNATI OH
45249-2291
US

IV. Provider business mailing address

8271 CORNELL RD STE 730
CINCINNATI OH
45249-2291
US

V. Phone/Fax

Practice location:
  • Phone: 513-610-5014
  • Fax:
Mailing address:
  • Phone: 513-610-5014
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberAPRN.CNP.0038800
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: