Individual provider · Type 1 NPI

Madison Theetge, RN, BSN

Registered Nurse · Brockport, NY

NPI number 1821847179 Active

Practice location

40 Allen St
Brockport, NY 14420-2228

Mailing address

14 Park Pl
Holley, NY 14470-1023

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X780387 (NY)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1821847179

Madison Theetge, RN, BSN's National Provider Identifier is 1821847179, issued on May 17, 2024. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Brockport, NY. The record was last updated on May 17, 2024.