Individual
ABIGAIL ROSE MADANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
10201 DOUBLE R BLVD STE 315, RENO, NV 89521-6091
(775) 982-3443
(775) 982-3441
Mailing address
1155 MILL ST # M-14, RENO, NV 89502-1576
(775) 982-3443
(775) 982-3441
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
62152
MN
208600000X
Surgery Physician
62152
MN
208600000X
Surgery Physician
Primary
DO4177
NV
2086X0206X
Surgical Oncology Physician
DO4177
NV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16808494
CAQH
NV
01
—
DO4177
LICENSE
NV
Enumeration date
12/19/2009
Last updated
08/12/2026
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