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Wendy Denise Madison, CNP
Primary Care Nurse Practitioner in Hominy, Oklahoma
NPI 1891166864

Wendy Denise Madison is a Primary Care Nurse Practitioner based in Hominy, OK and is specialized in Primary Care. Wendy Denise Madison practices in Hominy, OK and has the professional credentials of CNP. The NPI Number for Wendy Denise Madison is 1891166864 and holds a License No. 84648 (Oklahoma).

The current practice location address for Wendy Denise Madison is 119 W Main St, Hominy, OK and can be reached out via phone at 918-885-4640 and via fax at 918-885-4644.

Location: 119 W Main St, Hominy, OK, 74035-1031
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Provider Profile Details
NPI Number
1891166864
Provider Name
Wendy Denise Madison
Credential
CNP
Provider Entity Type
Individual
Gender
Female
Address
119 W Main St, Hominy, OK, 74035-1031
Phone Number
918-885-4640
Fax Number
918-885-4644
Provider Enumeration Date
10/15/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
449026YRHZ 01 OK MEDICARE PTAN
200614820 A 05 OK
institution
Provider Business Practice Location Address Details
Address
119 W Main St
City
State
Zip
74035-1031
Phone Number
918-885-4640
Fax Number
918-885-4644
person
Provider Business Mailing Address Details
Address
119 W Main St
City
State
Zip
74035-1031
Phone Number
918-885-4640
Fax Number
918-885-4644
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
84648 (Oklahoma)
Definition
Definition to come...
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