Healthcare Provider Details

I. General information

NPI: 1366350175
Provider Name (Legal Business Name): MADISON HUBBARD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2260 NW WASHINGTON BLVD
HAMILTON OH
45013-5832
US

IV. Provider business mailing address

2260 NW WASHINGTON BLVD
HAMILTON OH
45013-5832
US

V. Phone/Fax

Practice location:
  • Phone: 513-887-5170
  • Fax: 513-887-5000
Mailing address:
  • Phone: 513-887-5170
  • Fax: 513-887-5000

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number522753
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: