Individual
JESSICA M MADRID-WARDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-BC
Contact information
Practice address
103 MEDICINE WAY ROAD, PERIDOT, AZ 85542
(928) 475-1400
Mailing address
1716 E SKYLINE CIR, GLOBE, AZ 85501-2013
(928) 812-2859
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP11244
AZ
Other
Enumeration date
05/07/2018
Last updated
04/29/2021
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