Individual
MADISON HERREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-0100
(843) 792-1414
Mailing address
9221 SOUTHERN OAK LN, LADSON, SC 29456-5531
(518) 369-3635
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
803404
NY
363LF0000X
Family Nurse Practitioner
Primary
30163
SC
363LF0000X
Family Nurse Practitioner
355818
NY
Other
Enumeration date
06/04/2025
Last updated
09/04/2025
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