Madden, Lori Kennedy
Madden, Lori Kennedy is an individual health care provider with primary practice located at 2315 Stockton Blvd , Sacramento CA 95817-2201. She recently has 6 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Critical Care Medicine, Nursing Service Providers / Neuroscience, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Madden, Lori Kennedy can be contacted via phone (916) 703-3021.Contact Information
Primary practice address
2315 Stockton Blvd
Sacramento CA 95817-2201
Phone: (916) 703-3021
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | 482526 | California |
| Nursing Service Providers / Critical Care Medicine | 163WC0200X | 0120148 | California |
| Nursing Service Providers / Neuroscience | 163WN0800X | 05-094-00 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 10233 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 325935-28 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist | 364S00000X | 474 | California |
Profile Details
| NPI number | 1720007479 |
|---|---|
| LBN Legal business name | Madden, Lori Kennedy |
| Credentials | PHD, RN, ACNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2006 |
| Last updated | Sep 25th, 2020 - about 4 years 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720007479 | NPPES |
| California | MEDICAID | 3623313 |
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