Provider Demographics
NPI:1588326813
Name:REESE, MADISON (CNM)
Entity type:Individual
Prefix:
First Name:MADISON
Middle Name:
Last Name:REESE
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:143 THOMAS JEFFERSON TER
Mailing Address - Street 2:
Mailing Address - City:ELKTON
Mailing Address - State:MD
Mailing Address - Zip Code:21921-5145
Mailing Address - Country:US
Mailing Address - Phone:443-907-2679
Mailing Address - Fax:
Practice Address - Street 1:137 W HIGH ST STE 3B
Practice Address - Street 2:
Practice Address - City:ELKTON
Practice Address - State:MD
Practice Address - Zip Code:21921-8606
Practice Address - Country:US
Practice Address - Phone:443-245-7377
Practice Address - Fax:410-620-3083
Is Sole Proprietor?:No
Enumeration Date:2021-10-13
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR227070176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife