NANCY L MAUDLIN


Address: 2680 W Centre Ave, Rambling Rd Pediatrics- Portage, Portage, MI 49024-4828
Phone: 2693242400

NANCY L MAUDLIN (NPI# 1912987595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912987595
Entity Type Individual
Full Name NANCY L MAUDLIN
Credential NP
Practice Address 2680 W Centre Ave
Rambling Rd Pediatrics- Portage
Portage
MI 49024-4828
Mailing Address 601 John St
Box 42
Kalamazoo
MI 49007-5341
Practice Telephone 2693242400
Practice Fax Number 2693240450
Mailing Telephone 2693417806
Mailing Fax Number 2693418743
Enumeration Date 2006-01-19
Last Update Date 2007-11-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
4704100968 MI Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2680 W CENTRE AVE
RAMBLING RD PEDIATRICS- PORTAGE
City PORTAGE
State MI
Zip Code 49024-4828

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902886518 Mary J Schira Nurse Practitioner 2680 W Centre Ave, Rambling Road Pediatrics Portage, Portage, MI 49024-4828 2006-01-19
1679058218 Carah Beth Lemmen Nurse Practitioner 2680 W Centre Ave, Portage, MI 49024-4828 2018-09-29
1275887051 Katherine Marie Longoria Registered Nurse 2680 W Centre Ave, Portage, MI 49024-4828 2012-11-01
1831458272 Jamie Lyn Harden Pediatrics 2680 W Centre Ave, Portage, MI 49024-4828 2012-05-04
1215078142 Julie Elias Pediatrics 2680 W Centre Ave, Portage, MI 49024-4828 2007-02-12
1558306944 Christopher K Goodwin Internal Medicine 2680 W Centre Ave, Portage, MI 49024-4828 2006-06-18
1023089604 Sara Ehlke-bejcek Pediatrics 2680 W Centre Ave, Portage, MI 49024-4828 2006-01-31
1922078575 Allan R Lareau Pediatrics 2680 W Centre Ave, Portage, MI 49024-4828 2006-01-25

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134774524 Antonio Richard Barron Physician Assistant 5717 Oakland Dr Ste A, Portage, MI 49024 2019-08-03
1699279240 Julie Lynn Griffin Specialist/Technologist Portage Northern High School, 1000 Idaho Ave, Portage, MI 49024 2018-03-20
1194255711 Brittany Lynn Finkler Audiologist 576 Romence Rd Ste 121, Portage, MI 49024 2017-06-15
1164881207 Family & Children Services, Inc. Clinic/Center 1302 W Milham Ave, Portage, MI 49024 2016-02-17
1497127716 Huber Counseling, LLC Counselor 1591 West Centre Ave, Suite 102, Portage, MI 49024 2015-10-26
1659757466 Marie Porter Rehabilitation Practitioner 5724 Alten St, Portage, MI 49024 2015-08-04
1063824860 George Hughes General Practice 6630 Sunburst Dr, Portage, MI 49024 2014-05-28
1922358407 Kimberly Lynn Ellrich Speech-Language Pathologist Storypoint, 3951 W Milham Ave, Portage, MI 49024 2012-09-12
1942593744 Shamika Hall, Ph.d. & Associates, Pllc Community/Behavioral Health 7901 S. 12th St., Suite 201, Portage, MI 49024 2011-05-26
1306142815 Jody Lynn Wrathall Dentist 3020 Old Centre Rd, Portage, MI 49024 2011-01-31
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902913171 Jeanne Leadley Nurse Practitioner 6560 Pleasantview Dr, Portage, MI 49024-1035 2006-08-24
1902843774 Genevieve T Bastos Nurse Practitioner 2700 E Centre Ave, Portage, MI 49002-5500 2006-06-01
1902886518 Mary J Schira Nurse Practitioner 2680 W Centre Ave, Rambling Road Pediatrics Portage, Portage, MI 49024-4828 2006-01-19
1073506119 Kathleen L Ludwikowski Nurse Practitioner 317 Dewitt St, Portage, WI 53901-2155 2005-08-24
1639177983 Ann Patrice Sheehan Nurse Practitioner 670 Mall Dr, Portage, MI 49024-2878 2005-07-11
1679058218 Carah Beth Lemmen Nurse Practitioner 2680 W Centre Ave, Portage, MI 49024-4828 2018-09-29

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1851991061 Sarah Elizabeth Barber Nurse Practitioner 12918 Lake Point Pass, Van Buren Twp, MI 48111-2243 2020-10-27
1730700881 Kelsey Olinik Nurse Practitioner 22200 Barclay Dr, Novi, MI 48374-3874 2020-04-29
1467080705 Jessica Nicole Heichel Nurse Practitioner 7729 Brass Creek Ct, Dexter, MI 48130-9384 2020-03-31
1114550506 Katlyn Roberts Nurse Practitioner 60160 E 8 Mile Rd, South Lyon, MI 48178-9768 2020-02-13
1093351595 Emily Janina Jamett Nurse Practitioner 31815 Southfield Rd Ste 10, Beverly Hills, MI 48025-5471 2019-11-20
1508410747 Clorissa Diedrich Nurse Practitioner 829 N Center Ave Ste 130, Gaylord, MI 49735-1684 2019-07-25
1255895355 Jessica Lynn Kata Nurse Practitioner 19229 Mack Ave Ste 28, Grosse Pointe Woods, MI 48236-2857 2019-01-23
1467934679 Anita Lynn Riddle Nurse Practitioner 100 W. Vanburen Street, Battle Creek, MI 49017 2018-09-04
1285120634 Alexandra Danko Nurse Practitioner 5500 Auto Club Dr Ste 160, Dearborn, MI 48126-2779 2018-07-09
1417442617 Shelby Fredricks Nurse Practitioner 1205 S Mission St Ste 4, Mount Pleasant, MI 48858-3939 2018-06-29
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Competitor

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City PORTAGE
Zip Code 49024

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Dataset Information

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.

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