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NPI Code Detail

MEDICARE: MADISON NICHOLE ROSE NEMETH CRNP

MEDICARE: MADISON NICHOLE ROSE NEMETH CRNP
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
1363L00000XNurse PractitionerSP036157PA

General Provider Information

NPI Number : 1750214250
Entity Type Code : Individual
Provider Name (Legal Business Name) : MADISON NICHOLE ROSE NEMETH CRNP
Provider Business Mailing Address
First Line : 76 ADAMS RD
Second Line :
City : LEESPORT
State : PA
Zip : 19533-8882
Country : US
Telephone Number : 484-332-2960
Fax Number :
Provider Business Practice Location Address
First Line : 3940 LOCUST LN
Second Line :
City : HARRISBURG
State : PA
Zip : 17109-4023
Country : US
Telephone Number : 717-545-5787
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2026
Last Update Date : 06/04/2026

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