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Individual

DR. LORI KENNEDY MADDEN

Active
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Individual

DR. LORI KENNEDY MADDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD, RN, ACNP

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
482526
CA
163WC0200X
Critical Care Medicine Registered Nurse
0120148
CA
163WN0800X
Neuroscience Registered Nurse
05-094-00
CA
363L00000X
Nurse Practitioner
10233
CA
363LA2100X
Acute Care Nurse Practitioner
Primary
325935-28
CA
364S00000X
Clinical Nurse Specialist
474
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3623313
CA
Enumeration date
07/19/2006
Last updated
09/25/2020
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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