Individual provider · Type 1 NPI

Kelly L. Madia, ARNP

Gerontology Nurse Practitioner · Rogers, AR

NPI number 1336503457 Active

Practice location

2710 S Rife Medical Ln
Rogers, AR 72758-1452

Fax (479) 986-3448

Other practice locations

  • 1959 NE Pacific St, Seattle, WA 98195-4007 · (206) 520-5000

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000XAP60910189 (WA)
Acute Care Nurse Practitioner 363LA2100XAP60910189 (WA)
Gerontology Nurse Practitioner 363LG0600XAP60910189 (WA)
Gerontology Nurse Practitioner Primary 363LG0600XA004821 (AR)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1336503457

Kelly L. Madia, ARNP's National Provider Identifier is 1336503457, issued on Apr 6, 2016. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Rogers, AR. The record was last updated on Feb 13, 2023.