Provider Demographics
NPI:1275225468
Name:MADSON, CHRISTIAN GHILLIAM (APRN)
Entity type:Individual
Prefix:
First Name:CHRISTIAN
Middle Name:GHILLIAM
Last Name:MADSON
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:CHRISTIAN
Other - Middle Name:
Other - Last Name:MADSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MATHIS
Mailing Address - Street 1:1601 2ND AVE N STE 450D
Mailing Address - Street 2:
Mailing Address - City:GREAT FALLS
Mailing Address - State:MT
Mailing Address - Zip Code:59401-3259
Mailing Address - Country:US
Mailing Address - Phone:406-505-4553
Mailing Address - Fax:406-820-4680
Practice Address - Street 1:1601 2ND AVE N STE 450D
Practice Address - Street 2:
Practice Address - City:GREAT FALLS
Practice Address - State:MT
Practice Address - Zip Code:59401-3259
Practice Address - Country:US
Practice Address - Phone:406-505-4553
Practice Address - Fax:406-820-4680
Is Sole Proprietor?:No
Enumeration Date:2023-05-24
Last Update Date:2025-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT28048163W00000X
MT217058363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse