# MRS. PATRICIA C MADER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1285639005
- **Gender:** F
- **Credential:** A.R.N.P.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 4150P | KY | Yes |

## Other

- **Enumeration date:** 06/17/2005
- **Last updated:** 12/19/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000360626 | ANTHEM | KY |
| 01 | — | 000000486305 | ANTHEM PIN | KY |
| 01 | — | 2646419000 | PASSPORT ADVANTAGE | KY |
| 01 | — | 50008080 | PASSPORT | KY |
| 05 | — | 78011855 | — | KY |