Provider Demographics
NPI:1952050502
Name:CAIN, MADELEINE LEXANDRA (FNP-C)
Entity Type:Individual
Prefix:
First Name:MADELEINE
Middle Name:LEXANDRA
Last Name:CAIN
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4205 51ST ST
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79413-3815
Mailing Address - Country:US
Mailing Address - Phone:806-778-7684
Mailing Address - Fax:
Practice Address - Street 1:4205 51ST ST
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79413-3815
Practice Address - Country:US
Practice Address - Phone:806-778-7684
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-21
Last Update Date:2023-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1086942363LX0001X
TX932471163WX0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
No163WX0003XNursing Service ProvidersRegistered NurseObstetric, Inpatient