National Provider Identifier

Madigan Rene Northrup, CNM

Madigan Rene Northrup, CNM is listed in the NPPES registry with a primary specialty of Advanced Practice Midwife in Rochester, NY and a listed phone number of (585) 275-7892.

NPI 1679384796Rochester, NYAdvanced Practice Midwife

Profile Overview

NPI
1679384796
Provider Type
Individual
Primary Specialty
Advanced Practice Midwife
Enumeration Date
January 17, 2025
Last Updated
January 17, 2025

Practice Location

  • 125 Lattimore RD Ste 270
  • Rochester, NY 14620-4155

Phone: (585) 275-7892

Specialties

  • Advanced Practice Midwife (367A00000X)
Full Record
NPI
1679384796
Entity Type
Individual
Last Name
Northrup
First Name
Madigan
Middle Name
Rene
Credential
CNM
Provider Other Last Name
Groff
Provider Other First Name
Madigan
Provider Other Middle Name
Rene
Provider Other Last Name Type Code
1
Mailing Street Address
125 Lattimore RD Ste 270
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14620-4155
Mailing Country
US
Mailing Phone
(585) 275-7892
Mailing Fax
(585) 442-6798
Practice Street Address
125 Lattimore RD Ste 270
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14620-4155
Practice Country
US
Practice Phone
(585) 275-7892
Practice Fax
(585) 442-6798
Enumeration Date
January 17, 2025
Last Updated
January 17, 2025
Sex
Female
Sole Proprietor
Yes
Certification Date
January 17, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Advanced Practice Midwife (367A00000X)