person
Ms. Faith Elise Maddock, FNP-BC
Family Nurse Practitioner in Portage, Michigan
NPI 1477218279

Faith Elise Maddock is a Family Nurse Practitioner based in Kankakee, MI and is specialized in Family. Faith Elise Maddock practices in Portage, MI and has the professional credentials of FNP-BC. The NPI Number for Faith Elise Maddock is 1477218279 and holds a License No. 4704378304 (Michigan).

The current practice location address for Faith Elise Maddock is 3200 W Centre Ave Ste 203, Portage, MI and can be reached out via phone at 269-324-0799.

Location: 3200 W Centre Ave Ste 203, Portage, MI, 60901-5374
person
Provider Profile Details
NPI Number
1477218279
Provider Name
Faith Elise Maddock
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
3200 W Centre Ave Ste 203, Portage, MI, 60901-5374
Phone Number
269-324-0799
Fax Number
Provider Enumeration Date
11/05/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3200 W Centre Ave Ste 203
City
State
Zip
49024-4889
Phone Number
269-324-0799
Fax Number
person
Provider Business Mailing Address Details
Address
3200 W Centre Ave Ste 203
City
State
Zip
49024-4889
Phone Number
269-324-0799
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
4704378304 (Michigan)
Definition
Definition to come...
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