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Bryan Maddox, NP
Family Nurse Practitioner in Madison, Indiana
NPI 1215687058

Bryan Maddox is a Family Nurse Practitioner based in Madison, IN and is specialized in Family. Bryan Maddox practices in Madison, IN and has the professional credentials of NP. The NPI Number for Bryan Maddox is 1215687058 and holds a License No. CS0365835 (Indiana).

The current practice location address for Bryan Maddox is 1373 E State Road 62, Madison, IN and can be reached out via phone at 812-801-0800.

Location: 1373 E State Road 62, Madison, IN, 47250-8043
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215687058
Provider Name
Bryan Maddox
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
1373 E State Road 62, Madison, IN, 47250-8043
Phone Number
812-801-0800
Fax Number
Provider Enumeration Date
03/25/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7100813710 05 KY
412840155 01 IN MEDICARE
300062802 05 IN
institution
Provider Business Practice Location Address Details
Address
1373 E State Road 62
City
Madison
State
Indiana
Zip
47250-7328
Phone Number
812-801-0800
Fax Number
person
Provider Business Mailing Address Details
Address
1373 E State Road 62
City
Madison
State
Indiana
Zip
47250-7328
Phone Number
812-801-0800
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
CS0365835 (Indiana)
Definition
Definition to come...
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