Provider Demographics
NPI:1235516345
Name:MEARA SPAULDING IP
Entity Type:Organization
Organization Name:MEARA SPAULDING IP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MEARA
Authorized Official - Middle Name:EDWARDS
Authorized Official - Last Name:SPAULDING
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:513-551-8359
Mailing Address - Street 1:6015 DRYDEN AVE APT 4
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45213-1750
Mailing Address - Country:US
Mailing Address - Phone:513-551-8359
Mailing Address - Fax:
Practice Address - Street 1:6015 DRYDEN AVE
Practice Address - Street 2:APT. 4
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45213-1750
Practice Address - Country:US
Practice Address - Phone:513-551-8359
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-28
Last Update Date:2015-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care