Individual provider · Type 1 NPI
Madison Herren
Family Nurse Practitioner · Charleston, SC
NPI number
1700770963
Active
Practice location
171 Ashley Ave
Charleston, SC 29425-0100
Mailing address
9221 Southern Oak Ln
Ladson, SC 29456-5531
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 803404 (NY) |
| Family Nurse Practitioner Primary | 363LF0000X | 30163 (SC) |
| Family Nurse Practitioner | 363LF0000X | 355818 (NY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1700770963
Madison Herren's National Provider Identifier is 1700770963, issued on Jun 4, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Charleston, SC. The record was last updated on Sep 4, 2025.