Healthcare Provider Details

I. General information

NPI: 1710845474
Provider Name (Legal Business Name): MADISON ELIZABETH HORRIGAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/12/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1972 CLARK AVE
ALLIANCE OH
44601-3993
US

IV. Provider business mailing address

671 ASHBROOKE WAY
HUDSON OH
44236-1280
US

V. Phone/Fax

Practice location:
  • Phone: 800-992-6682
  • Fax:
Mailing address:
  • Phone: 216-501-0919
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: