Madison Blankenship
Madison Blankenship is a Nurse Practitioner in Glenwood, Iowa. Qualified in 2021, 5 years ago. Practices with Physicians Clinic Inc, a 560-clinician group and accepts Medicare assignment. Licensed in Iowa.
- Years since qualifying
- 5
- Licensed in
- IA
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
320 Ebaugh StGlenwood, IA 51534-1811
Phone: (712) 527-5204
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X · Licence A165688 (IA) |
|---|---|
| Registered Nurse | Taxonomy 163W00000X · Licence 149120 (IA) |
Record details
| NPI number | 1073281242 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 2, 2021 |
| Last updated in NPPES | September 20, 2021 |
| Certification date | September 20, 2021 |
| Mailing address | Po Box 3755, Omaha, NE 68103-0755 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Group practice | Physicians Clinic Inc — 560 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |