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NPI Code Detail

MEDICARE: MADELINE NICHOLA PRINCE

MEDICARE: MADELINE NICHOLA PRINCE
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
1163WW0000XWound Care Registered Nurse105537WV

General Provider Information

NPI Number : 1568310589
Entity Type Code : Individual
Provider Name (Legal Business Name) : MADELINE NICHOLA PRINCE
Provider Business Mailing Address
First Line : 266 BRANDENBURG DR
Second Line :
City : FALLING WATERS
State : WV
Zip : 25419-4999
Country : US
Telephone Number : 304-264-1000
Fax Number :
Provider Business Practice Location Address
First Line : 2500 HOSPITAL DR
Second Line :
City : MARTINSBURG
State : WV
Zip : 25401-3402
Country : US
Telephone Number : 304-264-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2026
Last Update Date : 03/17/2026

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Directions to “ MADELINE NICHOLA PRINCE ” Practice Location

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