Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Madison Tate Gillham

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1790520617

Madison Tate Gillham is a Student in an Organized Health Care Education/Training Program in Edmond, Oklahoma. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

100 N University Dr
Edmond, OK 73034-5207
Phone: (405) 974-2959
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1790520617
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 1, 2024
Last updated in NPPESJuly 1, 2024
Certification dateJuly 1, 2024
Mailing address1412 Brixton Rd, Edmond, OK 73034-3304

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