Individual
MS. ANGELA MADRID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
355 BARD AVE, STATEN ISLAND, NY 10310-1664
(718) 818-1234
Mailing address
2421 S YELLOWSTONE ST APT 2204, WICHITA, KS 67215-1566
(970) 313-6681
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
14-134939-031
KS
367500000X
Certified Registered Nurse Anesthetist
43-557638-031
KS
367500000X
Certified Registered Nurse Anesthetist
Primary
900143
NY
Other
Enumeration date
10/02/2018
Last updated
09/16/2024
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