Provider Demographics
NPI:1073717484
Name:NAEGLE, MADELINE ANNE (APRN-BC, PHD)
Entity Type:Individual
Prefix:DR
First Name:MADELINE
Middle Name:ANNE
Last Name:NAEGLE
Suffix:
Gender:F
Credentials:APRN-BC, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 E 95TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-0710
Mailing Address - Country:US
Mailing Address - Phone:212-876-9517
Mailing Address - Fax:212-995-4679
Practice Address - Street 1:19 E 95TH ST
Practice Address - Street 2:4F
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-0710
Practice Address - Country:US
Practice Address - Phone:212-876-9517
Practice Address - Fax:212-995-4679
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY175701163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health