Individual
MRS. MARTHA MADRID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
2625 E INDIAN SCHOOL RD UNIT 115, PHOENIX, AZ 85016-6794
(406) 860-8057
Mailing address
2625 E INDIAN SCHOOL RD UNIT 115, PHOENIX, AZ 85016-6794
(406) 860-8057
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
25249
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25249
RN, MONTANA (COMPACT STATE)
MT
Enumeration date
11/03/2015
Last updated
04/05/2016
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