Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Madeleine Park

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1104526193

Madeleine Park is a Student in an Organized Health Care Education/Training Program in Sheridan, Colorado. Licensed in Colorado. Registered with an NPI since 2023.

Licensed in
CO
In the registry since
2023
Specialties on file
2

Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Sheridan, CO

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DEN.00206073 (CO)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1104526193
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 8, 2023
Last updated in NPPESAugust 15, 2024
Certification dateAugust 15, 2024

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