Individual
MRS. MICHELLE ANNE MADERA
Active
Individual
MRS. MICHELLE ANNE MADERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-C
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2018037735
MO
363LF0000X
Family Nurse Practitioner
Primary
2018037735
MO
363LF0000X
Family Nurse Practitioner
53-78467-121
KS
363LF0000X
Family Nurse Practitioner
APRN.CNP.0039281
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0146690
—
OH
Enumeration date
11/06/2018
Last updated
07/16/2026
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