Mcdermott, Madonna Kathryn
Mcdermott, Madonna Kathryn is an individual health care provider with primary practice located at 2115 Summit Ave Mail Box 5056, Saint Paul MN 55105-1048. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Mcdermott, Madonna Kathryn can be contacted via phone (651) 962-6750.Contact Information
Primary practice address
2115 Summit Ave Mail Box 5056
Saint Paul MN 55105-1048
Phone: (651) 962-6750
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | R-122604-5 | Minnesota |
Profile Details
| NPI number | 1184740664 |
|---|---|
| LBN Legal business name | Mcdermott, Madonna Kathryn |
| Credentials | Certified Nurse Practitioner (CNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 22nd, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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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