Individual provider · Type 1 NPI

Madison Wingate

Student in an Organized Health Care Education/Training Program · Modesto, CA

NPI number 1174312490 Active

Practice location

1700 Mchenry Village Way Ste 11B
Modesto, CA 95350-4341

Call (209) 213-7995 Map

Mailing address

1900 Oakdale Rd Apt 29
Modesto, CA 95355-2978

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1174312490

Madison Wingate's National Provider Identifier is 1174312490, issued on May 2, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Modesto, CA. The record was last updated on Aug 20, 2025.