MR. IFEANYI C MADU (NPI# 1295295038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295295038 |
| Entity Type | Individual |
| Full Name | MR. IFEANYI C MADU |
| Other Name | MR. IFEANYI JOHN MADU |
| Credential | NURSE PRACTITIONER |
| Practice Address |
785 Calamus Palm Pl Henderson NV 89011-2648 |
| Practice Telephone | 3108084346 |
| Mailing Telephone | 3108084346 |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2020-01-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
818778 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
785 CALAMUS PALM PL |
| City | HENDERSON |
| State | NV |
| Zip Code | 89011-2648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891322749 | Lauren Chapple Love | Student in an Organized Health Care Education/Training Program | 1820 E. Warm Springs Rd, Suite 115, Suite 115, Henderson, NV 89011 | 2020-03-23 |
| 1972139780 | Fresenius Medical Care Nkdhc, LLC | Clinic/Center | 1051 Wellness Pl, Suite 100, Henderson, NV 89011 | 2020-03-13 |
| 1720508658 | Dennis Cortez | Nurse Practitioner | 800 N. Gibson Rd., 201, Henderson, NV 89011 | 2017-06-21 |
| 1003281452 | Henderson Hospital | General Acute Care Hospital | 1050 West Galleria Drive, Henderson, NV 89011 | 2015-12-10 |
| 1962821645 | Champions Behavioral Health Care | Counselor | 833 Aspen Peak Loop #524, Henderson, NV 89011 | 2014-04-10 |
| 1154748127 | Mission Treatment Centers, Inc. | Community/Behavioral Health | 1536 N. Boulder Highway, Henderson, NV 89011 | 2014-03-27 |
| 1174951651 | Neveda Behavioral Health | Behavioral Analyst | 930 Canale Drive, Henderson, NV 89011 | 2013-10-21 |
| 1720358039 | Dignity Health | Neurological Surgery | 800 N Gibson Rd Ste 101, Henderson, NV 89011 | 2012-01-03 |
| 1003102682 | Kerri S. Korin | Social Worker | 3155 E. Patrick Lane, Suite 1, Las Vegas, NV 89011 | 2011-06-22 |
| 1306163993 | Recovercare LLC | Durable Medical Equipment & Medical Supplies | 513 West Sunset Rd, Henderson, NV 89011 | 2010-04-22 |
| Find all providers in zip 89011 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881201713 | Sharlona Payne | Nurse Practitioner | 697 Sunrise Cliffs St, Henderson, NV 89014-2659 | 2020-09-24 |
| 1740673029 | Alejandro Jimenez Incera | Nurse Practitioner | 10885 S Eastern Ave, Suite 100, Henderson, NV 89052-5857 | 2015-03-11 |
| 1578635140 | Mildred M Martinez | Nurse Practitioner | 861 Coronado Center Dr Ste 220, Henderson, NV 89052-3992 | 2006-11-15 |
| 1710404793 | Charynne A Quinesares | Nurse Practitioner | 283 N Pecos Rd, Henderson, NV 89074-1918 | 2017-08-29 |
| 1417474412 | Renee E Brill | Nurse Practitioner | 870 Seven Hills Dr Ste 202, Henderson, NV 89052-4379 | 2017-08-29 |
| 1326562166 | Abigail Christina L Leonoras | Nurse Practitioner | 2847 Saint Rose Pkwy Ste 150, Henderson, NV 89052-4845 | 2017-08-02 |
| 1285008235 | Kelly Gentry | Nurse Practitioner | 568 Ruin Creek Rd, Suite 003, Henderson, NC 27536-2880 | 2015-11-13 |
| 1407805526 | Lola Faye Houston | Nurse Practitioner | 319 8th St, Suite 1, Henderson, KY 42420-2963 | 2006-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306451471 | Jhouleen Angelika Tam Tiamzon | Nurse Practitioner | 3510 E Tropicana Ave Ste K, Las Vegas, NV 89121-7341 | 2020-09-15 |
| 1184241226 | Jillian Rose Castillo | Nurse Practitioner | 1005 Terminal Way Ste 184, Reno, NV 89502-2179 | 2020-07-05 |
| 1700441094 | Gerald Lynn Gibbs | Nurse Practitioner | 1418 Silent Sunset Ave, North Las Vegas, NV 89084-2012 | 2019-05-02 |
| 1649783754 | Maxine Millicent Webster | Nurse Practitioner | 2851 N Tenaya Way Ste 101, Las Vegas, NV 89128-0453 | 2017-11-10 |
| 1164933560 | Aaron James Hales | Nurse Practitioner | 6079 Salsbury Cove Drive, North Las Vegas, NV 89081-8908 | 2017-10-12 |
| 1700302791 | Marissa Schanbacher Adolfo | Nurse Practitioner | 848 Paseo Cerro Pl, Las Vegas, NV 89138-6096 | 2017-08-21 |
| 1467987487 | Judith L. Tan | Nurse Practitioner | Summerlin Hospital, 657 N Town Center Dr, Las Vegas, NV 89144 | 2017-04-27 |
| 1366852352 | Thomas Arpad Sharon | Nurse Practitioner | 922 West Owens Avenue, Las Vegas, NV 89106 | 2014-04-30 |
| 1225048184 | Charles A Sheeley II | Nurse Practitioner | 50 Kirman Ave, Reno, NV 89502-1175 | 2006-08-09 |
| 1336150275 | Brenda Ann Pugsley | Nurse Practitioner | 5250 Neil Rd., #207, Reno, NV 89502-6556 | 2006-08-09 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MR. IFEANYI C MADU.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.