Provider Demographics
NPI:1386417970
Name:ENGELS, MADISON
Entity type:Individual
Prefix:MRS
First Name:MADISON
Middle Name:
Last Name:ENGELS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:655 BOXWOOD DR
Mailing Address - Street 2:
Mailing Address - City:HAMPSTEAD
Mailing Address - State:MD
Mailing Address - Zip Code:21074-3161
Mailing Address - Country:US
Mailing Address - Phone:803-412-4420
Mailing Address - Fax:
Practice Address - Street 1:655 BOXWOOD DR
Practice Address - Street 2:
Practice Address - City:HAMPSTEAD
Practice Address - State:MD
Practice Address - Zip Code:21074-3161
Practice Address - Country:US
Practice Address - Phone:803-412-4420
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-06
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach