Individual
ANCIE MADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
153 LEDGEMONT DR, EDMOND, OK 73013-1693
(903) 806-7960
Mailing address
153 LEDGEMONT DR, EDMOND, OK 73013-1693
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
112875
OK
363LF0000X
Family Nurse Practitioner
Primary
112875
TX
Other
Enumeration date
10/06/2020
Last updated
10/06/2020
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