Individual
LINDA MADSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
2525 CHICAGO AVE S, CHILDRENS SPECIALTY CLINIC HEMATOLOGY ONCOLOGY MPLS, MINNEAPOLIS, MN 55404
(612) 813-5940
(612) 813-6325
Mailing address
2910 CENTRE POINTE DR, 35-121A CHILDRENS HEALTH CARE, ROSEVILLE, MN 55113
(651) 855-2109
(651) 855-2310
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R1176797
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104720500
—
MN
Enumeration date
02/14/2006
Last updated
08/14/2012
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