Individual
DIANE M MADSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRMA
Contact information
Practice address
401 E SPRUCE ST, GARDEN CITY, KS 67846-5679
(620) 272-2222
Mailing address
2830 E PRESTWICK RD, WINONA LAKE, IN 46590-8910
(620) 805-9113
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
76659
NM
367500000X
Certified Registered Nurse Anesthetist
TMP140632
KS
Other
Enumeration date
04/14/2010
Last updated
02/01/2024
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