Individual
MR. IFEANYI C MADU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
390 W LAKE MEAD PKWY STE 120, HENDERSON, NV 89015-7417
(725) 220-8477
(833) 749-0360
Mailing address
6101 BLUE LAGOON DR STE 200, MIAMI, FL 33126-3168
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
818778
NV
363LG0600X
Gerontology Nurse Practitioner
818778
NV
Other
Enumeration date
03/20/2019
Last updated
02/19/2026
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