Individual
MS. MADISON VANWAGENEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 MANNING DR, CHAPEL HILL, NC 27514-4220
(984) 974-3311
Mailing address
1701 TARBERT DR, CARY, NC 27511-5052
(919) 608-6560
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
347078
NC
Other
Enumeration date
07/29/2025
Last updated
07/29/2025
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