Provider Demographics
NPI:1952681439
Name:MADRU, NANCY (CLD, CPD, CCCE)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:MADRU
Suffix:
Gender:F
Credentials:CLD, CPD, CCCE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 PINE RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:MA
Mailing Address - Zip Code:01085-9600
Mailing Address - Country:US
Mailing Address - Phone:413-977-8037
Mailing Address - Fax:
Practice Address - Street 1:10 PINE RIDGE RD
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:MA
Practice Address - Zip Code:01085-9600
Practice Address - Country:US
Practice Address - Phone:413-977-8037
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-28
Last Update Date:2011-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula