Timalee Madson

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Riverton, WY

NPI 1265240295 · NPPES record last updated Dec 23, 2024

Key facts

NPI
1265240295
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
2660 Peck Ave
Riverton, WY 82501-2273
Phone
(307) 855-2000
NPI assigned
Dec 23, 2024
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

2660 Peck Ave
Riverton, WY 82501-2273

Mailing address

2660 Peck Ave
Riverton, WY 82501-2273

Other providers in Riverton, WY

All providers in Riverton, WY · Student in an Organized Health Care Education/Training Program in Wyoming

Sources for this page

Verify at the official NPI Registry.