Individual
MRS. MADELINE K CHALENOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA, DNP
Contact information
Practice address
42121 US HIGHWAY 70, PORTALES, NM 88130
(575) 359-1800
Mailing address
PO BOX 208050, DALLAS, TX 75320-8050
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
111316
MT
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA00553
NM
Other
Enumeration date
04/13/2006
Last updated
11/17/2022
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