Madalon, Nicole A

Madalon, Nicole A is an individual health care provider with primary practice located at 14014 N 46Th St Ste C , Tampa FL 33613-4238. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Madalon, Nicole A can be contacted via phone (813) 284-2229.

Contact Information

Primary practice address
14014 N 46Th St Ste C Tampa FL 33613-4238
Phone: (813) 284-2229
Fax: (813) 377-1681
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 2014002554 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X RN274702 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 209011060 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X ARNP9437823 Florida

Profile Details

NPI number 1982029864
LBN Legal business name Madalon, Nicole A
Credentials ARNP-CNM
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2014
Last updated Jun 19th, 2024 - about 3 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982029864 NPPES
Florida MEDICAID 018447200

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