Doctor Name: | MS. CHRISTY L. MADORE |
NPI Number: | 1346422193 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP-C |
License Number: | R045214 |
Business Practice Address: | 194 E Main St Fort Kent, ME - 047431428 |
Business Phone Number: | 2078343155 |
Business Fax Number: | 2078342949 |
Mailing Address: | 194 E Main St, FORT KENT |
State: | ME |
Postal Code: | 047431428 |
Phone Number: | 2078343155 |
Fax Number: | 2078342949 |
NPI Enumeration Date: | 12/04/2007 |
NPI Last Update Date: | 12/04/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | R045214 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |