Individual
MRS. MICHELE K MADDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2 COLUMBIA DR, SUITE A327, TAMPA, FL 33606-3508
(813) 844-4396
(813) 844-4972
Mailing address
2 COLUMBIA DR, SUITE A327, TAMPA, FL 33606-3508
(813) 844-4396
(813) 844-4972
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP2672302
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G4209
BCBS OF FLORIDA
FL
Enumeration date
06/14/2006
Last updated
07/08/2007
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