Healthcare Provider Details

I. General information

NPI: 1861238891
Provider Name (Legal Business Name): MADISON DONNA REES NNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MADISON DONNA SHEAFE

II. Dates (important events)

Enumeration Date: 07/09/2024
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 NEW BERN AVE
RALEIGH NC
27610-1231
US

IV. Provider business mailing address

PO BOX 808800
KANSAS CITY MO
64180-8800
US

V. Phone/Fax

Practice location:
  • Phone: 919-350-8000
  • Fax: 919-350-7204
Mailing address:
  • Phone: 877-498-4490
  • Fax: 919-350-7687

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LN0005X
TaxonomyCritical Care Neonatal Nurse Practitioner
License Number5020390
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License Number5020390
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: