Individual
MS. KAYE MADISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
303 N CENTENNIAL WAY, MESA, AZ 85201-6733
(480) 649-3111
(480) 649-3113
Mailing address
303 NORTH CENTENIAL WAY, MESA, AZ 85201-4421
(480) 649-3111
(480) 649-3113
Taxonomy
Speciality
Code
Description
License number
State
163WR0400X
Rehabilitation Registered Nurse
Primary
RN074197
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN074197
NURSING LICENSE
AZ
Enumeration date
03/15/2006
Last updated
09/28/2011
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