Individual
MADISON WERNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4505 S MARYLAND PKWY, LAS VEGAS, NV 89154-9900
(307) 575-5320
Mailing address
4505 S MARYLAND PKWY, LAS VEGAS, NV 89154-9900
(307) 575-5320
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0506743
NV
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
10/19/2021
Last updated
08/14/2023
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