Individual provider · Type 1 NPI
Mary Katherine Maddock
Psychiatric/Mental Health Nurse Practitioner · Culver City, CA
NPI number
1457790594
Active
Practice location
9808 Venice Blvd, Suite 700
Culver City, CA 90232-2732
Fax (310) 945-3356
Mailing address
9808 Venice Blvds, Suite 700
Culver City, CA 90232
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 23327 (CA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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- Joseph P. Weigel, N.P.Psychiatric/Mental Health Nurse Practitioner Culver City, CA NPI 1063563542
- Hannah O.n. OkoroPsychiatric/Mental Health Nurse Practitioner Culver City, CA NPI 1073129326
About NPI 1457790594
Mary Katherine Maddock's National Provider Identifier is 1457790594, issued on Jun 21, 2013. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Culver City, CA. The record was last updated on Nov 26, 2021.