Provider Demographics
NPI:1235877796
Name:STRIEGEL, MADISON SUE (PNP)
Entity Type:Individual
Prefix:
First Name:MADISON
Middle Name:SUE
Last Name:STRIEGEL
Suffix:
Gender:F
Credentials:PNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:303 SCRIBNER DR STE 100
Mailing Address - Street 2:
Mailing Address - City:NEW ALBANY
Mailing Address - State:IN
Mailing Address - Zip Code:47150-3596
Mailing Address - Country:US
Mailing Address - Phone:812-949-1616
Mailing Address - Fax:
Practice Address - Street 1:303 SCRIBNER DR STE 100
Practice Address - Street 2:
Practice Address - City:NEW ALBANY
Practice Address - State:IN
Practice Address - Zip Code:47150-3596
Practice Address - Country:US
Practice Address - Phone:812-949-1616
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-24
Last Update Date:2022-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71012594A363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics