| Doctor Name: | CHARLENE MADANAT |
| NPI Number: | 1912173469 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP |
| License Number: | SP009811 |
| Business Practice Address: | 950 S Octorara Trail Parkesburg, PA - 193652100 |
| Business Phone Number: | 6108576616 |
| Business Fax Number: | 7175444004 |
| Mailing Address: | 950 S Octorara Trail, PARKESBURG |
| State: | PA |
| Postal Code: | 193652100 |
| Phone Number: | 6108576616 |
| Fax Number: | 7175444004 |
| NPI Enumeration Date: | 05/05/2008 |
| NPI Last Update Date: | 10/03/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | SP009811 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |