Individual
MADELYNN LEA OGLESBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
3317 S HIGLEY RD, GILBERT, AZ 85297-5436
(480) 900-8639
Mailing address
3295 E CASTANETS DR, GILBERT, AZ 85298-9189
(602) 663-2776
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-320361
AZ
363A00000X
Physician Assistant
Primary
25MP00573400
NJ
363A00000X
Physician Assistant
9128
AZ
374J00000X
Doula
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MP00573400
NEW JERSEY STATE BOARD OF MEDICAL EXAMINERS
NJ
01
—
9128
THE ARIZONA REGULATORY BOARD OF PHYSICIAN ASSISTANTS
AZ
Enumeration date
09/10/2020
Last updated
05/08/2026
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