Most Relevant Information
Provider Data
| NPI Number: | 1003434226 |
| Provider Name: | MADISON WYNNE DEMPEWOLF FNP, RN |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 95014890 |
Most Important Dates
| Enumeration Date: | 07/14/2020 |
| Last Updated: | 07/14/2020 |
Provider Practice Location
564 RIO LINDO AVE STE 102
CHICO
CA
959261852
Practice Location Phone/Fax
| Phone: | 5309659900 |
| Fax: |
Provider Mailing Location
564 RIO LINDO AVE STE 102
CHICO
CA
959261852
Provider Mailing Phone/Fax
| Phone: | 5309659900 |
| Fax: |