Individual
MADOLIN ELIZABETH WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
550 S LANDMARK AVE, BLOOMINGTON, IN 47403-3239
(812) 330-3689
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28238848A
IN
363LF0000X
Family Nurse Practitioner
Primary
71011717A
IN
Other
Enumeration date
09/21/2021
Last updated
08/05/2022
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