Individual
MRS. MADISON PAIGE CENKUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
19669 BLUE JAY TRAIL CIR, LAWSON, MO 64062-7032
(816) 739-0762
Mailing address
19669 BLUE JAY TRAIL CIR, LAWSON, MO 64062-7032
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
2018003561
MO
363LF0000X
Family Nurse Practitioner
Primary
2023004708
MO
Other
Enumeration date
12/28/2022
Last updated
04/22/2023
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