Individual provider · Type 1 NPI
Marilyn Pelletier Madajczyk, FNP-BC
Family Nurse Practitioner · Ray, MI
NPI number
1578730875
Active
Practice location
21380 31 Mile Rd
Ray, MI 48096-1319
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 4704236178 (MI) |
| Family Nurse Practitioner Primary | 363LF0000X | 11200003 (MI) |
Family Nurse Practitioner: Definition to come...
About NPI 1578730875
Marilyn Pelletier Madajczyk, FNP-BC's National Provider Identifier is 1578730875, issued on May 15, 2008. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Ray, MI. The record was last updated on Dec 11, 2020.