Madden, Katelynn

Madden, Katelynn is an individual health care provider with primary practice located at 1001 Main St Ste 200 , Peoria IL 61606-2035. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Madden, Katelynn can be contacted via phone (309) 672-5682.

Contact Information

Primary practice address
1001 Main St Ste 200 Peoria IL 61606-2035
Phone: (309) 672-5682
Fax: (309) 672-3147
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 364SG0600X 209022044 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist 364S00000X 209.022044 Illinois

Profile Details

NPI number 1720694094
LBN Legal business name Madden, Katelynn
Credentials APRN, CNS
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2020
Last updated Sep 22nd, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720694094 NPPES
Illinois Other 209022044 APN LICENSE

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