# COLLEEN MADONIA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1295516037
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WC0200X | Critical Care Medicine Registered Nurse | RN.267139 | OH | — |
| 363LG0600X | Gerontology Nurse Practitioner | APRN.CNP.0035108 | OH | Yes |

## Other

- **Enumeration date:** 10/09/2023
- **Last updated:** 10/11/2023