NICOLE MONIQUE MADDOX

CLEVELAND, OH
NPI1891455325
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: OH  2021182892)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: OH  APRN.CNP.025956)
363LP2300X Nurse Practitioner, Primary Care
(Licence: OH  10190061)
363LP2300X Nurse Practitioner, Primary Care
(Licence: OH  RN.339635)
Enumeration Date2021-12-23
Last Update Date2024-05-02
Business Address
NICOLE MONIQUE MADDOX APRN
6559 WILSON MILLS RD STE 106
CLEVELAND, OH 44143
Phone number: 440-449-1540
Mailing Address
NICOLE MONIQUE MADDOX APRN
PO BOX 931596
CLEVELAND, OH 44193-1724
Phone number: 440-449-1540