Provider Demographics
NPI:1881560910
Name:MADORE, ALLISON LOUISE (RN)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:LOUISE
Last Name:MADORE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4855 COVENTRY LN
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23518-1636
Mailing Address - Country:US
Mailing Address - Phone:767-472-2855
Mailing Address - Fax:
Practice Address - Street 1:4855 COVENTRY LN
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23518-1636
Practice Address - Country:US
Practice Address - Phone:767-472-2855
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-15
Last Update Date:2025-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001169711163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health