Madison B Holup, MSW CANDIDATE
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Everson, WA
NPI 1649017237 · NPPES record last updated Aug 15, 2024
Key facts
- NPI
- 1649017237
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 103 W Main St
Everson, WA 98247-8217 - Phone
- (360) 935-0087
- NPI assigned
- Jul 10, 2024
- Sex
- Unspecified or another gender identity
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
103 W Main St
Everson, WA 98247-8217
Mailing address
103 W Main St
Everson, WA 98247-8217
Phone (360) 935-0087
Other providers in Everson, WA
- Jonathan W Grymaloski
- Joni Marie Hamilton
- Angela Lee Henderson
- Melissa Hildebrand
- Patti Hoelzle
- Makenna Lanie Holz
- Alex Ilyin
- Peter August Joseph
- Meagan Kammenga
- Ceylon Rose Keeslar
All providers in Everson, WA · Student in an Organized Health Care Education/Training Program in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.