MS. Faith Elise Maddock, FNP-BC

NPI #1477218279 in Portage, Michigan

Provider Information

NPI Number
1477218279
Entity Type
Individual
Name
MS. Faith Elise Maddock, FNP-BC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Practitioner - Family
Credential
FNP-BC
Enumeration Date
Nov 5, 2021
Last Updated
Nov 29, 2021

Practice Location

Address
3200 W CENTRE AVE STE 203
ZIP Code
49024-4889
Phone
(269) 324-0799

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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