Provider Demographics
NPI:1326547944
Name:MADDEN, SYDNEY LEE (MSN, APRN, FNP-BC)
Entity Type:Individual
Prefix:
First Name:SYDNEY
Middle Name:LEE
Last Name:MADDEN
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-BC
Other - Prefix:MRS
Other - First Name:SYDNEY
Other - Middle Name:LEE
Other - Last Name:GEORGE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9716 MERLOT LN
Mailing Address - Street 2:
Mailing Address - City:NORTH LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72118-1160
Mailing Address - Country:US
Mailing Address - Phone:254-630-3020
Mailing Address - Fax:
Practice Address - Street 1:3010 FOUNTAIN DR
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:AR
Practice Address - Zip Code:72034
Practice Address - Country:US
Practice Address - Phone:501-328-0055
Practice Address - Fax:501-328-2194
Is Sole Proprietor?:No
Enumeration Date:2018-02-09
Last Update Date:2018-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA005456363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily