National Provider Identifier
Ryker Maddox
Ryker Maddox is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Frewsburg, NY and a listed phone number of (716) 708-7908.
Profile Overview
- NPI
- 1306385455
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- February 21, 2017
- Last Updated
- February 21, 2017
Practice Location
- 39 W Main St
- Frewsburg, NY 14738-9628
Phone: (716) 708-7908
Mailing Address
- PO Box 258
- 39 West Main Street
- Frewsburg, NY 14738-0258
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1306385455
- Entity Type
- Individual
- Last Name
- Maddox
- First Name
- Ryker
- Mailing Street Address
- PO Box 258
- Mailing Address Line 2
- 39 West Main Street
- Mailing City
- Frewsburg
- Mailing State
- NY
- Mailing ZIP Code
- 14738-0258
- Mailing Country
- US
- Mailing Phone
- (716) 708-7908
- Practice Street Address
- 39 W Main St
- Practice City
- Frewsburg
- Practice State
- NY
- Practice ZIP Code
- 14738-9628
- Practice Country
- US
- Practice Phone
- (716) 708-7908
- Enumeration Date
- February 21, 2017
- Last Updated
- February 21, 2017
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)