Madison McNicholas
Madison McNicholas is a Student in an Organized Health Care Education/Training Program in Norfolk, Virginia. Practices as a sole proprietor. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
5115 Hamptom BlvdNorfolk, VA 23508
Phone: (703) 999-7171
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1902429152 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | May 22, 2020 |
| Last updated in NPPES | November 27, 2023 |
| Certification date | May 22, 2020 |
| Mailing address | 5115 Hamptom Blvd, Norfolk, VA 23508 |
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