Individual
MADALYN ANNE WEISSEND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1200 BRECKENRIDGE ST, OWENSBORO, KY 42303-1089
(270) 685-8230
(270) 685-8233
Mailing address
1200 BRECKENRIDGE ST, OWENSBORO, KY 42303-1089
(270) 685-8230
(270) 685-8233
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4024272
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300093154
—
IN
05
—
7100996290
—
KY
01
—
K0013818
MEDICARE KY
KY
Enumeration date
04/02/2024
Last updated
09/19/2024
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