Individual
MADELYN E BONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2219 GARFIELD ST, TWO RIVERS, WI 54241-2416
(920) 793-2281
(920) 793-2281
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
14467-033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100253059
—
WI
Enumeration date
09/01/2023
Last updated
12/05/2023
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