Healthcare Provider Details

I. General information

NPI: 1922880731
Provider Name (Legal Business Name): EMMA BADENHOP CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: EMMA KUHLMAN

II. Dates (important events)

Enumeration Date: 10/17/2023
Last Update Date: 10/17/2023
Certification Date: 10/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7634 W CENTRAL AVE
TOLEDO OH
43617-1526
US

IV. Provider business mailing address

250 ORCHARD LN
NAPOLEON OH
43545-2317
US

V. Phone/Fax

Practice location:
  • Phone: 567-408-7356
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.0035178
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: