Individual
MRS. MADONNA KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-BC
Contact information
Practice address
1470 MADISON AVE, NEW YORK, NY 10029
(212) 241-6756
Mailing address
113 PONUS AVE, NORWALK, CT 06850-1830
(203) 644-3294
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
8355
CT
Other
Enumeration date
07/31/2019
Last updated
01/20/2022
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