Individual
MRS. TRISHA LYNN MADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
120 EAST AZALEA DR., HARRISBURG, PA 17110-3594
(717) 772-7664
(717) 772-7699
Mailing address
DPW-OMHSAS LOGAN BUILDING, P.O. BOX 2675, HARRISBURG, PA 17105-2675
(717) 772-7664
(717) 772-7699
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
RN518892L
PA
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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