Provider Demographics
NPI:1821572199
Name:PADEN, ADRIANNE LEIGH (RN)
Entity Type:Individual
Prefix:
First Name:ADRIANNE
Middle Name:LEIGH
Last Name:PADEN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7168 WHEELER DR
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:OH
Mailing Address - Zip Code:43725-9547
Mailing Address - Country:US
Mailing Address - Phone:740-255-0680
Mailing Address - Fax:
Practice Address - Street 1:7168 WHEELER DR
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:OH
Practice Address - Zip Code:43725-9547
Practice Address - Country:US
Practice Address - Phone:740-255-0680
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-21
Last Update Date:2018-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN285407163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse