Individual
MARCIA ANNE MADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, NP
Contact information
Practice address
825 S 8TH ST, STE 440, MINNEAPOLIS, MN 55404-1208
(612) 341-7908
Mailing address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
173185-21
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
602516100
—
MN
Enumeration date
06/14/2006
Last updated
07/29/2007
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