MRS. HOLLY MEDLEN (NPI# 1982084190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982084190 |
Entity Type | Individual |
Full Name | MRS. HOLLY MEDLEN |
Credential | AANP CNP |
Practice Address |
2213 Cherry St Unit 2b Toledo OH 43608 |
Mailing Address |
2213 Cherry St Unit 2b Toledo OH 43608-2603 |
Practice Telephone | 4192515155 |
Mailing Telephone | 4192515155 |
Enumeration Date | 2015-06-02 |
Last Update Date | 2019-05-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
COA17303-NP | OH | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 0141539 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
5210 Renwyck Dr Ste C, Toledo, OH 436150905 | 4193855751 | 4193857162 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932571262 | Holly Medlen | Nurse Practitioner | 1604 Industrial Park Dr, Paola, KS 66071-9528 | 2015-10-26 |
Street Address |
2213 CHERRY ST UNIT 2B |
City | TOLEDO |
State | OH |
Zip Code | 43608 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568465425 | Charles S Sheldon | Internal Medicine | 2213 Cherry St Unit 2b, Toledo, OH 43608-2603 | 2005-05-24 |
1306407671 | Stefanie Lynn Fox | Nurse Practitioner | 2213 Cherry St Unit 2b, Toledo, OH 43608-2603 | 2019-06-26 |
1407333156 | Amber Swearingen | Nurse Practitioner | 2213 Cherry St Unit 2b, Toledo, OH 43608-2603 | 2018-07-25 |
1598250557 | Jamie Marie Hallock | Nurse Practitioner | 2213 Cherry St Unit 2b, Toledo, OH 43608-2603 | 2018-06-22 |
1093204141 | Penny Graves | Nurse Practitioner | 2213 Cherry St Unit 2b, Toledo, OH 43608-2603 | 2018-05-04 |
1295265916 | Julie Rowe | Nurse Practitioner | 2213 Cherry St Unit 2b, Toledo, OH 43608-2603 | 2017-06-14 |
1639606023 | Mohammad Ibrahim Mashaleh | Internal Medicine | 2213 Cherry St Unit 2b, Toledo, OH 43608-2603 | 2017-05-16 |
1932630142 | Zainulabedin Waqar | Internal Medicine | 2213 Cherry St Unit 2b, Toledo, OH 43608-2603 | 2017-03-21 |
1033568266 | Christopher Michael Hauger I | Internal Medicine | 2213 Cherry St Unit 2b, Toledo, OH 43608-2603 | 2016-06-08 |
1154708634 | Brandon Wong | Internal Medicine | 2213 Cherry St Unit 2b, Toledo, OH 43608 | 2015-05-04 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972126167 | Gunbir Singh | Student in an Organized Health Care Education/Training Program | 2213 Cherry Street, Acc Building, 1st Floor, Mercy St., Toledo, OH 43608 | 2020-05-21 |
1285257600 | Srikanth Popuri | Student in an Organized Health Care Education/Training Program | 2213 Cherry St Acc Building 1st Floor, Mercy St Vincent Medical Center, Toledo, OH 43608 | 2020-05-20 |
1003438961 | Krishna Chaudhary | Student in an Organized Health Care Education/Training Program | 2213 Cherry Street, Acc Building, 1st Floor, Mercy St. Vincent Medical Center, Toledo, OH 43608 | 2020-05-14 |
1538780440 | Abdul Baqi | Student in an Organized Health Care Education/Training Program | Mercy Health-st. Vincent's Medical Center, 2213 Cherry Street, Toledo, OH 43608 | 2020-05-01 |
1538780556 | Abid Nawaz Khan Adil | Student in an Organized Health Care Education/Training Program | 2213 Cherry Street 1st Floor Acc, Mercy Health St Vincent Medical Center, Toledo, OH 43608 | 2020-04-30 |
1578184750 | E Chin Mak | Student in an Organized Health Care Education/Training Program | 2213 Cherry Street, 1st Floor, Mercy St Vincent Medical Center, Ambulatory Care Center, Toledo, OH 43608 | 2020-04-29 |
1184244618 | Ghulam Mujtaba Ghumman | Student in an Organized Health Care Education/Training Program | Mercy Health St Vincent Medical Center, 2213 Cherry St Acc 1st Floor, Topedo, OH 43608 | 2020-04-24 |
1841853694 | Casey Clark | Student in an Organized Health Care Education/Training Program | 2213 Cherry Street, Ambulatory Care Center 1st Floor, Toledo, OH 43608 | 2019-04-17 |
1164910899 | Israr Ul Haq | Student in an Organized Health Care Education/Training Program | Mercy St. Vincent Medical Center, 2213 Cherry St., Toledo, OH 43608 | 2018-04-27 |
1124516380 | Alexander Payvandi | Student in an Organized Health Care Education/Training Program | 2213 Cherry St Fl, Toledo, OH 43608 | 2018-04-24 |
Find all providers in zip 43608 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528678190 | Kori Michelle Pfeiffer | Nurse Practitioner | 4640 Alexis Road, Toledo, OH 43623 | 2020-08-07 |
1649894577 | Victoria Rose Janowiecki | Nurse Practitioner | 1703 Gilbert Rd, Toledo, OH 43614-4010 | 2020-06-06 |
1851852800 | Courtney Noel Saffle | Nurse Practitioner | 4923 Elmhurst Rd, Toledo, OH 43613-3040 | 2019-03-30 |
1760940506 | Jacqueline Jena Maiden | Nurse Practitioner | 3560 Robin Rd, Toledo, OH 43623-1843 | 2019-03-12 |
1508341140 | Heather K Hornyak | Nurse Practitioner | 3840 Woodley Rd Ste B, Toledo, OH 43606-1178 | 2018-09-29 |
1972087542 | Tracey Morran | Nurse Practitioner | 4235 Secor Rd Bldg 1, Toledo, OH 43623-4231 | 2018-09-19 |
1689155095 | Falak Youssef | Nurse Practitioner | 3704 Willow Lane Dr, Toledo, OH 43615-1163 | 2018-08-23 |
1932687696 | Rashonda Nicole Hall | Nurse Practitioner | 5916 Staghorn Dr, Toledo, OH 43614-4565 | 2018-08-03 |
1194203539 | Rachel Denae York | Nurse Practitioner | 2150 W Central Ave Ste G, Toledo, OH 43606-3859 | 2018-07-28 |
1730675471 | Janna Wayne | Nurse Practitioner | 5800 Park Center Ct Ste C, Toledo, OH 43615-0710 | 2018-07-05 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.