Healthcare Provider Details
I. General information
NPI: 1043133002
Provider Name (Legal Business Name): DAVID PATRICK MADDEN DNP-PMHNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/04/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
176 VIRGINIA AVE
ROCHESTER PA
15074-1723
US
IV. Provider business mailing address
63 PITT ST
SHARON PA
16146-2102
US
V. Phone/Fax
- Phone: 724-770-9095
- Fax: 724-770-9096
- Phone: 724-770-9095
- Fax: 724-770-9096
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | SP034720 |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: