Madison, Nicholas C

Madison, Nicholas C is an individual health care provider with primary practice located at 1201 S 7Th Ave , Phoenix AZ 85007-3917. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as his primary health care specialty. Madison, Nicholas C can be contacted via phone (602) 344-6655.

Contact Information

Primary practice address
1201 S 7Th Ave Phoenix AZ 85007-3917
Phone: (602) 344-6655
Fax: (602) 344-6658
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 088121 Arizona

Profile Details

NPI number 1386839850
LBN Legal business name Madison, Nicholas C
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2007
Last updated Jan 22nd, 2015 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386839850 NPPES
Oregon MEDICAID 168395
Oregon Other R103163

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