Doctor Name: | MRS. REBECCA ANN MADDEN |
NPI Number: | 1013281591 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN,BSN |
License Number: | RN3175972 |
Business Practice Address: | 5708 Bay Forest Dr Pensacola, FL - 325262441 |
Business Phone Number: | 8504554854 |
Business Fax Number: | |
Mailing Address: | 5708 Bay Forest Dr, PENSACOLA |
State: | FL |
Postal Code: | 325262441 |
Phone Number: | 8504554854 |
Fax Number: | |
NPI Enumeration Date: | 03/01/2012 |
NPI Last Update Date: | 03/01/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WH0200X |
License Number: | RN3175972 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Home Health |
Taxonomy Definition: |