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Contact Information

WENDY D MADISON, CNP
119 W MAIN ST
HOMINY, OK74035-1031
 Phone: 918-885-4640
 Fax: 918-885-4644
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Care

363LP2300X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for WENDY D MADISON · (Female)

NPI # 1891166864
Status Active
Credentials CNP (Certified Nurse Practitioner)
Entity Individual
Enumeration date 10/15/2015
Last updated 12/28/2017 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • OK License # 84648
  • OK Medicaid 200614820 A
  • OK Other 449026YRHZ MEDICARE PTAN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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