Provider Demographics
NPI:1992461271
Name:ORWOSKY, MADISON (APRN-CNP)
Entity type:Individual
Prefix:
First Name:MADISON
Middle Name:
Last Name:ORWOSKY
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:MADISON
Other - Middle Name:
Other - Last Name:HOLMES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:105 MEDICAL PLZ
Mailing Address - Street 2:
Mailing Address - City:SULPHUR SPRINGS
Mailing Address - State:TX
Mailing Address - Zip Code:75482-2136
Mailing Address - Country:US
Mailing Address - Phone:903-885-3181
Mailing Address - Fax:903-885-1329
Practice Address - Street 1:105 MEDICAL PLZ
Practice Address - Street 2:
Practice Address - City:SULPHUR SPRINGS
Practice Address - State:TX
Practice Address - Zip Code:75482-2136
Practice Address - Country:US
Practice Address - Phone:903-885-3181
Practice Address - Fax:903-885-1329
Is Sole Proprietor?:No
Enumeration Date:2021-11-11
Last Update Date:2022-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1054681363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner