Individual
MADELYN ROSE CANNONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP, CPNP-AC
Contact information
Practice address
2840 MORRIS AVE, UNION, NJ 07083-4851
(888) 244-5373
Mailing address
240 OLD TOTE RD, MOUNTAINSIDE, NJ 07092-1837
(908) 477-9151
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
26NJ01438500
NJ
Other
Enumeration date
02/09/2023
Last updated
02/09/2023
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