Individual
CONNIE MADRID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7301 N 58TH AVE, GLENDALE, AZ 85301-1893
(623) 237-5610
Mailing address
7301 N 58TH AVE, GLENDALE, AZ 85301-1893
(623) 237-5610
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN193263
AZ
Other
Enumeration date
08/30/2016
Last updated
08/30/2016
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