Provider Demographics
NPI:1194467241
Name:SECCURRO, MADISEN RENAE (MD)
Entity type:Individual
Prefix:
First Name:MADISEN
Middle Name:RENAE
Last Name:SECCURRO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MADISEN
Other - Middle Name:RENAE
Other - Last Name:BURNS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:200 TRENT DR
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27710-3037
Mailing Address - Country:US
Mailing Address - Phone:919-684-3491
Mailing Address - Fax:919-684-3491
Practice Address - Street 1:200 TRENT DR
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27710-3037
Practice Address - Country:US
Practice Address - Phone:919-684-3491
Practice Address - Fax:919-684-3491
Is Sole Proprietor?:No
Enumeration Date:2022-04-10
Last Update Date:2025-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program