Provider Demographics
NPI:1285694224
Name:MADDEN, NANCY A (RN)
Entity type:Individual
Prefix:MR
First Name:NANCY
Middle Name:A
Last Name:MADDEN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:N4W22711 LEXINGTON DR
Mailing Address - Street 2:
Mailing Address - City:WAUKESHA
Mailing Address - State:WI
Mailing Address - Zip Code:53186-1630
Mailing Address - Country:US
Mailing Address - Phone:262-650-0631
Mailing Address - Fax:
Practice Address - Street 1:N4W22711 LEXINGTON DR
Practice Address - Street 2:
Practice Address - City:WAUKESHA
Practice Address - State:WI
Practice Address - Zip Code:53186-1630
Practice Address - Country:US
Practice Address - Phone:262-650-0631
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0200XNursing Service ProvidersRegistered NursePediatrics