THERESA HOPE MADOUN RN BSN IBCLC NPI 1790392959

NPI Information

  • NPI: 1790392959
  • Provider Name: THERESA HOPE MADOUN, RN, BSN, IBCLC
  • Classification: Registered Nurse - 163WL0100X
  • Specialization: Lactation Consultant
  • Entity Type: Individual
  • Address: 3362 PARKLAND DR
    WEST BLOOMFIELD, MI
    ZIP 48322
  • Phone: (248) 425-0702

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NPI Details

Theresa Hope Madoun, RN, BSN, IBCLC is a lactation consultant registered nurse in West Bloomfield, MI. Theresa Hope Madoun, RN, BSN, IBCLC NPI is 1790392959. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3362 PARKLAND DR
WEST BLOOMFIELD, MI
ZIP 48322-828
Phone: (248) 425-0702

The enumeration date for this NPI number is 9/30/2020 and was last updated on 9/30/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WN0002XRegistered NurseNeonatal Intensive Care4704321895MICHIGANNo
2163WL0100XRegistered NurseLactation ConsultantL-157742MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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