Individual provider · Type 1 NPI

Carissa Summers Madson, DO

Student in an Organized Health Care Education/Training Program · Wilkes Barre, PA

NPI number 1629771282 Active

Practice location

1000 E Mountain Dr
Wilkes Barre, PA 18711-0001

Call (707) 567-3830 Map

Mailing address

1500 Lewis Turner Blvd Apt M103
Fort Walton Beach, FL 32547-7211

Specialties and licenses

TaxonomyCodeLicense
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 1629771282

Carissa Summers Madson, DO's National Provider Identifier is 1629771282, issued on Mar 23, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Wilkes Barre, PA. The record was last updated on Mar 26, 2023.