Provider Demographics
NPI:1033485107
Name:GADD, MOLLY MAUREEN (DNP, RN, APRN-BC)
Entity Type:Individual
Prefix:MRS
First Name:MOLLY
Middle Name:MAUREEN
Last Name:GADD
Suffix:
Gender:F
Credentials:DNP, RN, APRN-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Last Name Type:
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Mailing Address - Street 1:390 WARDS CORNER RD
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:45140-6969
Mailing Address - Country:US
Mailing Address - Phone:513-943-4000
Mailing Address - Fax:513-943-4240
Practice Address - Street 1:390 WARDS CORNER RD
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:OH
Practice Address - Zip Code:45140-6969
Practice Address - Country:US
Practice Address - Phone:513-943-4000
Practice Address - Fax:513-943-4240
Is Sole Proprietor?:No
Enumeration Date:2012-03-22
Last Update Date:2014-04-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY3007263363LA2100X
OH13127-NP363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100214400Medicaid
KY7100214400Medicaid