Provider Demographics
NPI:1598658593
Name:TODD, MADISON HENLEY (BSN, RN)
Entity type:Individual
Prefix:
First Name:MADISON
Middle Name:HENLEY
Last Name:TODD
Suffix:
Gender:F
Credentials:BSN, RN
Other - Prefix:
Other - First Name:MADDIE
Other - Middle Name:HENLEY
Other - Last Name:TODD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:BSN, RN
Mailing Address - Street 1:7110 FOREST AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23226-3762
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7110 FOREST AVE STE 100
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23226-3762
Practice Address - Country:US
Practice Address - Phone:804-410-1413
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-30
Last Update Date:2025-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001303147163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse