Individual
MRS. MADELINE PRISCILLA PERKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
275 W ABRIENDO AVE, PUEBLO, CO 81004-1870
(719) 621-1929
(719) 621-4974
Mailing address
PO BOX 429, RYE, CO 81069-0429
(585) 704-0407
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.1660790
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN.1660790
RN LICENSE
CO
Enumeration date
06/11/2020
Last updated
06/12/2020
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