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NPI Code Detail

MEDICARE: MADISON WALTERS CNP

MEDICARE: MADISON WALTERS 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
1363LP0808XPsychiatric/Mental Health Nurse PractitionerAPRN.CNP.0027955OH
2363LP2300XPrimary Care Nurse PractitionerAPRN.CNP.002795OH

General Provider Information

NPI Number : 1770184681
Entity Type Code : Individual
Provider Name (Legal Business Name) : MADISON WALTERS CNP
Provider Business Mailing Address
First Line : 2730 HYDE PARK AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45209-2004
Country : US
Telephone Number : 614-499-4447
Fax Number :
Provider Business Practice Location Address
First Line : 5888 CLEVELAND AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43231-2860
Country : US
Telephone Number : 614-882-4343
Fax Number : 614-882-4664
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2020
Last Update Date : 04/30/2024

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