Madelyn Martha Thoreson
Individual provider Active NPI Medical-Surgical Registered Nurse · Novelty, OH
NPI 1154890408 · NPPES record last updated Nov 15, 2018
Key facts
- NPI
- 1154890408
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical-Surgical Registered Nurse 163WM0705X
- License
- 452975 (OH)
- Practice address
- 14281 Sweetbriar LN
Novelty, OH 44072-9787 - Phone
- (440) 667-7643
- NPI assigned
- Nov 15, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 452975 | OH | MD | Medical-Surgical Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical-Surgical Registered Nurse | 163WM0705X | 452975 | OH | Yes |
Addresses
Primary practice location
14281 Sweetbriar LN
Novelty, OH 44072-9787
Mailing address
14281 Sweetbriar LN
Novelty, OH 44072-9787
Phone (440) 667-7643
Other providers in Novelty, OH
- Russell TWP Board of Trustees
- Jennifer Schweiger
- Dorothy Sanford Sprecher
- Robert T Stroup Jr.
- Barbara Tarka
- Mollie Thoreson
- University Plastic Surgeons, Inc.
- Brittany Wrabel
- Elizabeth Naylor Zak
All providers in Novelty, OH · Medical-Surgical Registered Nurse in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 15, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.