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NPI Code Detail

MEDICARE: MS. MADELINE JAPP

MEDICARE: MS. MADELINE JAPP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse PractitionerAPRN11015888FL

General Provider Information

NPI Number : 1033871538
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MADELINE JAPP
Provider Business Mailing Address
First Line : 118 W ORANGE ST
Second Line :
City : ALTAMONTE SPRINGS
State : FL
Zip : 32714-2537
Country : US
Telephone Number : 352-431-3940
Fax Number :
Provider Business Practice Location Address
First Line : 118 W ORANGE ST
Second Line :
City : ALTAMONTE SPRINGS
State : FL
Zip : 32714-2537
Country : US
Telephone Number : 352-431-3940
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2021
Last Update Date : 11/26/2021

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