Doctor Name: | MS. DEBRA JEAN MADISON |
NPI Number: | 1013233287 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APN |
License Number: | 197 |
Business Practice Address: | 235 W 6th St Reno, NV - 895034548 |
Business Phone Number: | 7757465388 |
Business Fax Number: | |
Mailing Address: | Po Box 33147, RENO |
State: | NV |
Postal Code: | 895333147 |
Phone Number: | 7757465388 |
Fax Number: | |
NPI Enumeration Date: | 04/13/2010 |
NPI Last Update Date: | 03/21/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LN0000X |
License Number: | 197 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NV |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Neonatal |
Taxonomy Definition: |