Healthcare Provider Details

I. General information

NPI: 1700704111
Provider Name (Legal Business Name): MADISON SHEETZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 ROCKLAND RD
WILMINGTON DE
19803-3607
US

IV. Provider business mailing address

810 NOBLE ST
KUTZTOWN PA
19530-9721
US

V. Phone/Fax

Practice location:
  • Phone: 302-651-4000
  • Fax:
Mailing address:
  • Phone: 484-219-3870
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberLJ-0010537
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: