Provider Demographics
NPI:1134995459
Name:MCKEE, MADELYN PAIGE (APRN-CNP)
Entity type:Individual
Prefix:
First Name:MADELYN
Middle Name:PAIGE
Last Name:MCKEE
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8145 S CHARLESTON PIKE
Mailing Address - Street 2:
Mailing Address - City:SOUTH CHARLESTON
Mailing Address - State:OH
Mailing Address - Zip Code:45368-7717
Mailing Address - Country:US
Mailing Address - Phone:937-215-9130
Mailing Address - Fax:
Practice Address - Street 1:187 SOUTH TUTTLE RD
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:OH
Practice Address - Zip Code:45505
Practice Address - Country:US
Practice Address - Phone:937-901-9581
Practice Address - Fax:937-505-1307
Is Sole Proprietor?:No
Enumeration Date:2023-11-28
Last Update Date:2024-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0035463363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily