Individual
MADONNA KATHRYN MCDERMOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
2115 SUMMIT AVE, MAIL BOX 5056, SAINT PAUL, MN 55105-1048
(651) 962-6750
Mailing address
1567 DUNLAP ST N, SAINT PAUL, MN 55108-2215
(651) 487-3707
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R-122604-5
MN
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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