Individual
DR. REGINALD LEVON MADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP
Contact information
Practice address
2800 BLUE RIDGE RD STE 550, RALEIGH, NC 27607-6476
(919) 787-5380
(919) 787-3415
Mailing address
2800 BLUE RIDGE RD STE 550, RALEIGH, NC 27607-6476
(919) 787-5380
(919) 787-3415
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
159088
NC
363LA2200X
Adult Health Nurse Practitioner
Primary
5001551
NC
Other
Enumeration date
07/06/2006
Last updated
09/21/2022
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