Nicholas C Madison FNP

NPI 1386839850 - Nurse Practitioner - 363LA2100X

NPI Details
NPI 1386839850
Gender Male
Enumeration Date 09/07/2007
Last Updated 01/22/2015
Entity Type Individual
Active Over 9 years ago
Practice Location
1201 S 7TH AVE
PHOENIX AZ, 85007-3917, US
Phone (602) 344-6655
Fax (602) 344-6658
Business Location
2808 EAST GARY WAY
PHOENIX AZ, 85042, US
Phone (602) 296-5012
Fax
Toxanomy
Taxonomy Code 363LA2100X
License State Arizona
License Number 088121
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According to our database, Nicholas C Madison FNP NPI is 1386839850, taxonomy code is 363LA2100X and license number is 088121, license state is located at Arizona. Nicholas C Madison FNP physically located at 1201 S 7th Ave, Phoenix AZ, 85007-3917. NPI Number Nicholas C Madison FNP has the Individual type.

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1386839850 NPI number is provided on an as is basis without warranty of any kind. 1386839850 is maintained by the National Plan & Provider Enumeration System. The contents of Nicholas C Madison FNP are for informational purposes only.