Healthcare Provider Details

I. General information

NPI: 1780523423
Provider Name (Legal Business Name): MADISON CHRISTENSEN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/27/2026
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

92 W MILLER ST
ORLANDO FL
32806-2036
US

IV. Provider business mailing address

16000 RUSHMORE AVE APT 2308
LITTLE ROCK AR
72223-7010
US

V. Phone/Fax

Practice location:
  • Phone: 407-649-6876
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: