Individual
MS. GEORGETTA L MADDOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN/RN
Contact information
Practice address
814 N 26TH ST, MILWAUKEE, WI 53233-1508
(414) 207-4560
(414) 448-6946
Mailing address
814 N 26TH ST, MILWAUKEE, WI 53233-1508
(414) 207-4560
(414) 448-6946
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
264448-30
WI
163WA2000X
Administrator Registered Nurse
1265
WI
163WC1600X
Continuing Education/Staff Development Registered Nurse
264448-30
WI
163WH0200X
Home Health Registered Nurse
264448-30
WI
163WP0000X
Pain Management Registered Nurse
264448-30
WI
163WP0808X
Psychiatric/Mental Health Registered Nurse
264448-30
WI
163WP2201X
Ambulatory Care Registered Nurse
264448-30
WI
163WR0400X
Rehabilitation Registered Nurse
264448-30
WI
163WW0000X
Wound Care Registered Nurse
264448-30
WI
163WX0106X
Occupational Health Registered Nurse
264448-30
WI
251E00000X
Home Health Agency
1265
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1265
HOME HEALTH AGENCY
WI
Enumeration date
04/03/2026
Last updated
04/03/2026
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