Individual
MADELINE DALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
3524 S CULPEPPER CIR, SPRINGFIELD, MO 65804-4270
(417) 536-8217
Mailing address
911 E MORNINGSIDE ST, SPRINGFIELD, MO 65807-3521
(417) 536-8217
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2025043114
MO
Other
Enumeration date
08/13/2026
Last updated
08/13/2026
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