Individual provider · Type 1 NPI
Larry Edward Ede, NP
Adult Health Nurse Practitioner · Madison, OH
NPI number
1508510132
Active
Practice location
5824 Woodside Dr
Madison, OH 44057-2400
Fax (440) 428-4104
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 0030430 (OH) |
Adult Health Nurse Practitioner: Definition to come...
About NPI 1508510132
Larry Edward Ede, NP's National Provider Identifier is 1508510132, issued on Feb 11, 2022. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Madison, OH. The record was last updated on Feb 11, 2022.