MS. Faith Elise Maddock, FNP-BC is a family nurse practitioner in Portage, MI with 3 years of experience. MS. Faith Elise Maddock, FNP-BC NPI is 1477218279. The provider is registered as an individual entity type and is a single specialty group.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
3200 W CENTRE AVE STE 203
PORTAGE, MI
ZIP 49024-889
Phone: (269) 324-0799
The NPI 1477218279 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 11/5/2021 and was last updated on 11/29/2021.