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.

NPI 1942036538Rochester, NYStudent in an Organized Health Care Education/Training Program

Source: public NPPES record, last updated September 10, 2024. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

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)

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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)