person
Carissa Summers Madson, DO
Student in an Organized Health Care Education/Training Program in Wilkes Barre, Pennsylvania
NPI 1629771282

Carissa Summers Madson is a Student in an Organized Health Care Education/Training Program based in Fort Walton Beach, PA. Carissa Summers Madson practices in Wilkes Barre, PA and has the professional credentials of DO. The NPI Number for Carissa Summers Madson is 1629771282 and holds a License No. (Pennsylvania).

The current practice location address for Carissa Summers Madson is 1000 E Mountain Dr, Wilkes Barre, PA and can be reached out via phone at 707-567-3830.

Location: 1000 E Mountain Dr, Wilkes Barre, PA, 32547-7211
person
Provider Profile Details
NPI Number
1629771282
Provider Name
Carissa Summers Madson
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
1000 E Mountain Dr, Wilkes Barre, PA, 32547-7211
Phone Number
707-567-3830
Fax Number
Provider Enumeration Date
03/23/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1000 E Mountain Dr
City
State
Zip
18711-0001
Phone Number
707-567-3830
Fax Number
person
Provider Business Mailing Address Details
Address
1000 E Mountain Dr
City
State
Zip
18711-0001
Phone Number
707-567-3830
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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