Individual
KATELYNN MADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNS
Contact information
Practice address
1001 MAIN ST STE 200, PEORIA, IL 61606-2035
(309) 672-5682
(309) 672-3147
Mailing address
305 E MONROE ST, METAMORA, IL 61548-7115
(309) 696-8183
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
209.022044
IL
364SG0600X
Gerontology Clinical Nurse Specialist
Primary
209022044
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209022044
APN LICENSE
IL
Enumeration date
09/21/2020
Last updated
09/22/2025
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