Whitmore, Maddison Coreen

Whitmore, Maddison Coreen is an individual health care provider with primary practice located at 1575 Beam Ave , Maplewood MN 55109-1126. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Whitmore, Maddison Coreen can be contacted via phone (651) 232-7348.

Contact Information

Primary practice address
1575 Beam Ave Maplewood MN 55109-1126
Phone: (651) 232-7348
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 14519 Minnesota

Profile Details

NPI number 1407500325
LBN Legal business name Whitmore, Maddison Coreen
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2022
Last updated Jul 5th, 2023 - about 2 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.

Request for update

Popular Providers