Provider Demographics
NPI:1306392097
Name:DRUMMOND, MADELEINE (FNP-BC)
Entity Type:Individual
Prefix:
First Name:MADELEINE
Middle Name:
Last Name:DRUMMOND
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1080 N SHERMAN ST APT 302
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80203-2855
Mailing Address - Country:US
Mailing Address - Phone:615-400-2260
Mailing Address - Fax:
Practice Address - Street 1:75 VARICK ST FL 5
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013-1917
Practice Address - Country:US
Practice Address - Phone:855-961-1942
Practice Address - Fax:866-702-0882
Is Sole Proprietor?:No
Enumeration Date:2016-08-31
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COC-APN.0002517-C-NP363LP2300X
GAGAA-NP001158363LP2300X
FLTPAN1084363LP2300X
TX1032432363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care