Organization Name: | LINDSAY P. MADDEN, FNP PC |
NPI Number: | 1396887113 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LINDSAY P MADDEN (OWNER) |
Mailing Address: | 135 Ford Rd John Day |
State: | OR US |
Postal Code: | 978452010 |
Phone Number: | 5415752669 |
Fax Number: | 5415752743 |
NPI Enumeration Date: | 02/12/2007 |
NPI Last Update Date: | 10/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |