Provider Demographics
NPI:1235256603
Name:MADDEN, NANETTE M (NP)
Entity Type:Individual
Prefix:MS
First Name:NANETTE
Middle Name:M
Last Name:MADDEN
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:1001 POTRERO AVE # 6M5
Mailing Address - Street 2:SFGH CHILDREN'S HEALTH CENTER
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94110-3518
Mailing Address - Country:US
Mailing Address - Phone:415-206-3614
Mailing Address - Fax:415-206-6900
Practice Address - Street 1:1001 POTRERO AVE # 6M5
Practice Address - Street 2:SFGH CHILDREN'S HEALTH CENTER
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110-3518
Practice Address - Country:US
Practice Address - Phone:415-206-3614
Practice Address - Fax:415-206-6900
Is Sole Proprietor?:No
Enumeration Date:2007-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CARN148585163WP0200X
CANPF3603363LP0200X
CACNS2167364SP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163WP0200XNursing Service ProvidersRegistered NursePediatrics
Not Answered363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Not Answered364SP0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
028787OtherSFGH INTERNAL USE ONLY-COMMERCIAL NUMBER