Individual
ELISA MADSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 CIRBY HILLS DR, ROSEVILLE, CA 95678-4360
(916) 787-8800
Mailing address
10856 SCOTSMAN WAY, RANCHO CORDOVA, CA 95670-5015
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
MPSS-AQPHFY
CA
Other
Enumeration date
07/24/2023
Last updated
02/05/2024
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