Provider Demographics
NPI:1972720985
Name:DUARTE, MADELEINE TOLENTINO (RN)
Entity type:Individual
Prefix:
First Name:MADELEINE
Middle Name:TOLENTINO
Last Name:DUARTE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3981 PASO FINO WAY
Mailing Address - Street 2:
Mailing Address - City:YORBA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92886-7940
Mailing Address - Country:US
Mailing Address - Phone:714-695-1743
Mailing Address - Fax:562-944-8155
Practice Address - Street 1:3981 PASO FINO WAY
Practice Address - Street 2:
Practice Address - City:YORBA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92886-7940
Practice Address - Country:US
Practice Address - Phone:714-695-1743
Practice Address - Fax:562-944-8155
Is Sole Proprietor?:No
Enumeration Date:2007-04-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA489863163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse