Individual
MADELINE R PRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1000 VALE TERRACE DR, VISTA, CA 92084-5218
(844) 308-5003
Mailing address
1000 VALE TERRACE DR, VISTA, CA 92084-5218
(949) 616-9945
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
832532
CA
363LP2300X
Primary Care Nurse Practitioner
Primary
95016147
CA
Other
Enumeration date
06/02/2020
Last updated
06/21/2021
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