Individual provider · Type 1 NPI

Mary Theresa Maddox

Licensed Practical Nurse · Euclid, OH

NPI number 1003152455 Active

Practice location

24740 Devoe Ave
Euclid, OH 44123-2238

Call (216) 322-1577 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XPN-149664-M-IV (OH)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1003152455

Mary Theresa Maddox's National Provider Identifier is 1003152455, issued on Dec 12, 2012. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Euclid, OH. The record was last updated on Dec 12, 2012.