Healthcare Provider Details

I. General information

NPI: 1760397012
Provider Name (Legal Business Name): MADALYNN ZANCANELLI RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 PLEASANT ST
DES MOINES IA
50309-1406
US

IV. Provider business mailing address

787 RED LN
DANVILLE PA
17821-8418
US

V. Phone/Fax

Practice location:
  • Phone: 515-241-5437
  • Fax:
Mailing address:
  • Phone: 515-241-5437
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WN0002X
TaxonomyNeonatal Intensive Care Registered Nurse
License Number162101
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: