Healthcare Provider Details

I. General information

NPI: 1386602506
Provider Name (Legal Business Name): KAREN L. MADISON CPN
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/04/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1871 EVELYN BYRD AVE
HARRISONBURG VA
22801-3487
US

IV. Provider business mailing address

1871 EVELYN BYRD AVE
HARRISONBURG VA
22801-3487
US

V. Phone/Fax

Practice location:
  • Phone: 540-434-0559
  • Fax: 540-434-2478
Mailing address:
  • Phone: 540-434-0559
  • Fax: 540-434-2478

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number0024064089
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: