Provider Demographics
NPI:1073250510
Name:VOISARD, MADELINE GRACE
Entity Type:Individual
Prefix:
First Name:MADELINE
Middle Name:GRACE
Last Name:VOISARD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 N PIKE ST
Mailing Address - Street 2:
Mailing Address - City:ANNA
Mailing Address - State:OH
Mailing Address - Zip Code:45302-8695
Mailing Address - Country:US
Mailing Address - Phone:937-489-0437
Mailing Address - Fax:
Practice Address - Street 1:301 W WALNUT ST
Practice Address - Street 2:
Practice Address - City:ANNA
Practice Address - State:OH
Practice Address - Zip Code:45302-5029
Practice Address - Country:US
Practice Address - Phone:937-489-0437
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-17
Last Update Date:2022-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide