MEDICARE: MADISYN EPPLEMAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WE0003X	Emergency Registered Nurse	0001309496	VA

General Provider Information

NPI Number	:	1154251288
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MADISYN EPPLEMAN

Provider Business Mailing Address
First Line	:	2437 TRANQUILITY LN
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23455-1461
Country	:	US
Telephone Number	:	757-642-2352
Fax Number	:

Provider Business Practice Location Address
First Line	:	2337 COLINGTON RD
Second Line	:
City	:	KILL DEVIL HILLS
State	:	NC
Zip	:	27948-9155
Country	:	US
Telephone Number	:	757-642-2352
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/20/2026
Last Update Date	:	05/20/2026

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