Provider Demographics
NPI:1104230325
Name:SPAULDING, MEARA EDWARDS
Entity type:Individual
Prefix:
First Name:MEARA
Middle Name:EDWARDS
Last Name:SPAULDING
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 1:6015 DRYDEN AVE
Mailing Address - Street 2:APT. 4
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 1:6014 DRYDEN AVENUE
Practice Address - Street 2:APT.4
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45237-4809
Practice Address - Country:US
Practice Address - Phone:513-551-8359
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-16
Last Update Date:2015-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH154095164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse