Individual
MADELYN HINDIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
111 FORTRESS DR, O FALLON, IL 62269-7034
(636) 385-0376
Mailing address
111 FORTRESS DR, O FALLON, IL 62269-7034
(636) 385-0376
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
209029471
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209029471
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
53-83138-082
KS
Other
Enumeration date
12/18/2023
Last updated
06/04/2024
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