MADISON HEALTHCARE AND WELLNESS CTR. PC NPI 1891382057

NPI Information

NPI: 1891382057
Provider Name: MADISON HEALTHCARE AND WELLNESS CTR. PC
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
220 CLIFTY DR STE J
MADISON, IN
ZIP 47250
Phone: (812) 274-0713
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MADISON HEALTHCARE AND WELLNESS CTR. PC is a primary care nurse practitioner in Madison, IN. MADISON HEALTHCARE AND WELLNESS CTR. PC NPI is 1891382057. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

220 CLIFTY DR STE J
MADISON, IN
ZIP 47250-669
Phone: (812) 274-0713
Fax: (812) 205-2970

The provider's authorized official is Sandra Maria Smith .
The authorized official title is Nurse Practitioner and has the following contact phone number (812) 274-0713.

The enumeration date for this NPI number is 12/22/2020 and was last updated on 12/22/2020.

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
1	363LP2300X	Nurse Practitioner	Primary Care			Yes

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: 5/5/2024

NPI Synchronization or Removal

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