Doctor Name: | MRS. CATHERINE MADDUX |
NPI Number: | 1598139560 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-C |
License Number: | AP8300 |
Business Practice Address: | 203 N Judd Dr Bisbee, AZ - 856031045 |
Business Phone Number: | 5204327584 |
Business Fax Number: | 5204325498 |
Mailing Address: | 203 N Judd Dr, BISBEE |
State: | AZ |
Postal Code: | 856031045 |
Phone Number: | 5204327584 |
Fax Number: | 5204325498 |
NPI Enumeration Date: | 11/13/2015 |
NPI Last Update Date: | 11/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | AP8300 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |