Individual
DR. LORI KENNEDY MADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, RN, ACNP
Contact information
Practice address
2315 STOCKTON BLVD, SACRAMENTO, CA 95817-2201
(916) 703-3021
Mailing address
1350 COMMONS DR, SACRAMENTO, CA 95825-6656
(916) 335-9590
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
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