Individual
ELIZABETH MADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1804 7TH ST W, SUITE 200, SAINT PAUL, MN 55116-2300
(651) 227-7806
Mailing address
1804 7TH ST W, SUITE 200, SAINT PAUL, MN 55116-2300
(651) 227-7806
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R170960-1
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1386991339
—
MN
Enumeration date
08/09/2012
Last updated
12/07/2016
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