Individual
CHEYENNE THERESE MADORIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
3802 OAKWOOD MALL DR, EAU CLAIRE, WI 54701-3016
(715) 839-9280
Mailing address
719 W HAMILTON AVE STE B, EAU CLAIRE, WI 54701-6970
(715) 552-9784
(715) 835-6370
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
235886
WI
363L00000X
Nurse Practitioner
10478-33
WI
363LG0600X
Gerontology Nurse Practitioner
Primary
10478
WI
Other
Enumeration date
10/20/2020
Last updated
03/21/2025
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