IndividualActive
Madison Tacker, LPN
NPI 1124532379 · Licensed Practical Nurse · Manchester, NH
Provider details
- NPI number
- 1124532379
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 025.0133125 (VT)
Practice location
3000 Goffs Falls Rd Ste 101
Manchester, NH 03103-6109
Phone: (800) 995-2673
Fax: (800) 995-2673
Mailing address
3000 Goffs Falls Rd Ste 101
Manchester, NH 03103-6109
Registry dates
- Enumerated
- 2017-11-27
- Last updated
- 2017-11-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.