Provider Demographics
NPI:1447937479
Name:STUDER, MADISON ANNETTE
Entity type:Individual
Prefix:
First Name:MADISON
Middle Name:ANNETTE
Last Name:STUDER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 W SHIELDS ST
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:OH
Mailing Address - Zip Code:43055-5843
Mailing Address - Country:US
Mailing Address - Phone:740-281-4949
Mailing Address - Fax:
Practice Address - Street 1:24 W SHIELDS ST
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:OH
Practice Address - Zip Code:43055-5843
Practice Address - Country:US
Practice Address - Phone:740-281-4949
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-30
Last Update Date:2023-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker