White, Madalyn Brooke
White, Madalyn Brooke is an individual health care provider with primary practice located at 5659 Parkway Dr Ste 210 , Gloucester VA 23061-3792. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. White, Madalyn Brooke can be contacted via phone (804) 210-1025.Contact Information
Primary practice address
5659 Parkway Dr Ste 210
Gloucester VA 23061-3792
Phone: (804) 210-1025
Fax: (804) 210-1029
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 0024178442 | Virginia |
Profile Details
| NPI number | 1134764798 |
|---|---|
| LBN Legal business name | White, Madalyn Brooke |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 7th, 2019 |
| Last updated | Jan 25th, 2021 - about 5 years ago |
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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