Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2100X | Nurse Practitioner - Acute Care | 13127-NP | OH |
Y | 363LA2100X | Nurse Practitioner - Acute Care | 3007263 | KY |
NPI | 1033485107 |
---|---|
Provider Name | Mrs. Molly Maureen Gadd |
First Address | Loveland, OH 45140-6969 |
Second Address | Loveland, OH 45140-6969 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/03/2012 |
Last Update Date | 21/04/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7100214400 | (05) | KY |