(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum...
ID license #55516taxonomy 363L00000X
Medicare directory context
Attributes below come from the CMS Doctors & Clinicians dataset used by Medicare Care Compare,
retrieved 2026-08-21. They apply only to this clinician's public Medicare listing.
Medicare specialties
Nurse Practitioner
Largest Medicare group
20 members
Largest listed enrollment group
Facility affiliations reported by CMS
Madison Memorial Hospital
Medicare listing data does not guarantee that a clinician is accepting new patients or that a service is covered.
View the CMS dataset →
Practice context
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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