Individual
MADELYN ROEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
210 LAKE RD STE 600, LAKE JACKSON, TX 77566-4982
(979) 297-7337
Mailing address
210 LAKE RD STE 600, LAKE JACKSON, TX 77566-4982
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
1096033
TX
Other
Enumeration date
10/06/2022
Last updated
10/06/2022
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