National Provider Identifier
Madison Lea De Haan, BA
Madison Lea De Haan, BA is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Rochester, NY and a listed phone number of (585) 641-0281.
Profile Overview
- NPI
- 1942036538
- Provider Type
- Individual
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- September 10, 2024
- Last Updated
- September 10, 2024
Practice Location
- 1320 University Ave
- Rochester, NY 14607-1622
Phone: (585) 641-0281
Mailing Address
- 118 E Squire Dr Apt 2
- Rochester, NY 14623-1835
Specialties
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1942036538
- Entity Type
- Individual
- Last Name
- De Haan
- First Name
- Madison
- Middle Name
- Lea
- Name Prefix
- MS.
- Credential
- BA
- Mailing Street Address
- 118 E Squire Dr Apt 2
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14623-1835
- Mailing Country
- US
- Mailing Phone
- (239) 777-5772
- Practice Street Address
- 1320 University Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14607-1622
- Practice Country
- US
- Practice Phone
- (585) 641-0281
- Enumeration Date
- September 10, 2024
- Last Updated
- September 10, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- September 10, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Student in an Organized Health Care Education/Training Program (390200000X)