National Provider Identifier
Madison Theetge, RN, BSN
Madison Theetge, RN, BSN is listed in the NPPES registry with a primary specialty of Registered Nurse in Brockport, NY and a listed phone number of (585) 637-1842.
Profile Overview
- NPI
- 1821847179
- Provider Type
- Individual
- Primary Specialty
- Registered Nurse
- Enumeration Date
- May 17, 2024
- Last Updated
- May 17, 2024
Practice Location
- 40 Allen St
- Brockport, NY 14420-2228
Phone: (585) 637-1842
Mailing Address
- 14 Park Pl
- Holley, NY 14470-1023
Specialties
- Registered Nurse (163W00000X)
Full Record
- NPI
- 1821847179
- Entity Type
- Individual
- Last Name
- Theetge
- First Name
- Madison
- Credential
- RN, BSN
- Mailing Street Address
- 14 Park Pl
- Mailing City
- Holley
- Mailing State
- NY
- Mailing ZIP Code
- 14470-1023
- Mailing Country
- US
- Mailing Phone
- (315) 313-3033
- Practice Street Address
- 40 Allen St
- Practice City
- Brockport
- Practice State
- NY
- Practice ZIP Code
- 14420-2228
- Practice Country
- US
- Practice Phone
- (585) 637-1842
- Enumeration Date
- May 17, 2024
- Last Updated
- May 17, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- May 17, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Nurse (163W00000X)