Active NPIIndividual provider

Carly M Madore, APRN

Nurse Practitioner, Family in Niantic, Connecticut

NPI Number1396012498
Practice location
248 Flanders RD, Niantic, CT 06357-1264
Fax
—
Last updated
September 25, 2015

Carly Melissa Madore is a Nurse Practitioner, Family based in Niantic, CT. Carly Melissa Madore practices in Niantic, CT and has the professional credentials of APRN. The NPI Number for Carly Melissa Madore is 1396012498 and holds a License No. 4830 (CT). The current practice location address for Carly Melissa Madore is 248 Flanders RD, Niantic, CT 06357-1264 and can be reached out via phone at 860-739-5426.

Provider Profile Details

NPI Number
1396012498
Provider Name
Carly Melissa Madore
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
248 Flanders RD, Niantic, CT 06357-1264
Phone Number
860-739-5426
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
November 18, 2011
Last Update Date
September 25, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
248 Flanders RD
Niantic, CT 06357-1264
Zip
06357-1264
Phone Number
860-739-5426
Niantic, CT 06357Get directions →

Provider Business Mailing Address Details

Address
32 Plains RD
Haddam, CT 06438-1259
City
Haddam
State
CT
Zip
06438-1259
Phone Number
860-714-7420

License Information

License Number (1)
4830
License State (1)
CT
Taxonomy (1)
Nurse Practitioner, Pediatrics · 363LP0200X
License Number (2)
004830
License State (2)
CT
Taxonomy (2)
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Carly M Madore, APRN?

The NPI number of Carly M Madore, APRN is 1396012498. It was assigned on November 18, 2011 and is currently active in the NPPES registry.

What is the specialty of Carly M Madore, APRN?

Carly M Madore, APRN is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in CT under license number 4830.

Where does Carly M Madore, APRN practice?

The practice location is 248 Flanders RD, Niantic, CT 06357-1264. The office can be reached at 860-739-5426 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1396012498 directly on the NPPES registry website.

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