Provider Demographics
NPI:1538528385
Name:MADAUS, GEORGE (RN, CNP)
Entity type:Individual
Prefix:
First Name:GEORGE
Middle Name:
Last Name:MADAUS
Suffix:
Gender:M
Credentials:RN, CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 PARK STREET
Mailing Address - Street 2:CAPE COD HOSPITAL - HOUSE PHYSICAN DEPARTMENT
Mailing Address - City:HYANNIS
Mailing Address - State:MA
Mailing Address - Zip Code:02601
Mailing Address - Country:US
Mailing Address - Phone:508-862-5976
Mailing Address - Fax:508-862-7931
Practice Address - Street 1:27 PARK ST
Practice Address - Street 2:CCH HOUSE PHYSICAN DEPARTMENT
Practice Address - City:HYANNIS
Practice Address - State:MA
Practice Address - Zip Code:02601-5230
Practice Address - Country:US
Practice Address - Phone:508-862-5976
Practice Address - Fax:508-862-7931
Is Sole Proprietor?:No
Enumeration Date:2016-02-22
Last Update Date:2016-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2284201163W00000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse