Doctor Name: | MISS MICHELLE LOUISE MADDIN |
NPI Number: | 1609002260 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 689414 |
Business Practice Address: | 3230 Peacekeeper Way Bldg 209 Mcclellan, CA - 956522609 |
Business Phone Number: | 9168301513 |
Business Fax Number: | 9169291861 |
Mailing Address: | 3230 Peacekeeper Way, Bldg 209 MCCLELLAN |
State: | CA |
Postal Code: | 956522609 |
Phone Number: | 9168301513 |
Fax Number: | 9169291861 |
NPI Enumeration Date: | 06/09/2009 |
NPI Last Update Date: | 06/09/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC0400X |
License Number: | 689414 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Case Management |
Taxonomy Definition: |