Individual
MADELEINE MORRIS SERRANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4011 GATEWAY BLVD, NEWBURGH, IN 47630-8947
(812) 842-3880
Mailing address
PO BOX 3407, EVANSVILLE, IN 47733-3407
(812) 450-6815
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10003914A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/13/2022
Last updated
03/11/2023
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