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MS. RAIJA P. MADDOCK FNP, APRN
NPI 1033530043
Nurse Practitioner - Family in Salt Lake City, UT

Active since December 17, 2013
415 EAST 3900 SOUTH, MALIHEH FREE CLINIC, SALT LAKE CITY, UT 84107(801) 266-3700(801) 266-3721 Get Directions Write a Review

NPPES record last updated: December 17, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Raija P. Maddock Fnp, Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. RAIJA P. MADDOCK FNP, APRN (NPI 1033530043) is an individual family provider in Salt Lake City, Utah, licensed in Utah (188101-4405) and active in the NPI registry since December 2013.

NPPES Registry Identity

NPI1033530043
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. RAIJA P. MADDOCKCredential: FNP, APRN
Location Address415 EAST 3900 SOUTH, MALIHEH FREE CLINICSalt Lake City, UT 84107
Mailing Address2553 Beverly StSalt Lake City, UT 84106 · (801) 485-5445
Phone(801) 266-3700
Fax(801) 266-3721
Sole ProprietorYes
Enumeration DateDecember 17, 2013
✔ NPI 1033530043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in UT · 188101-4405
415 EAST 3900 SOUTH, Salt Lake City, UT 84107
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Raija Maddock's NPI number?

The NPI number for Raija Maddock is 1033530043. It was assigned to this individual provider in the NPPES registry on December 17, 2013.

Where is Raija Maddock located?

Raija Maddock practices at 415 East 3900 South Maliheh Free Clinic, Salt Lake City, UT 84107. The listed phone number is (801) 266-3700.

What is Raija Maddock's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Raija Maddock was last updated on December 17, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.