Individual
CODIE KRISTEN MADSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3305 NY-43, AVERILL PARK, NY 12018
(518) 674-5797
Mailing address
3305 ROUTE 43, AVERILL PARK, NY 12018
(518) 674-5797
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F356993-01
NY
Other
Enumeration date
09/09/2025
Last updated
09/09/2025
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