Individual
BRIANNE MICHELLE MADSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1505 MEDICAL PKWY, CARSON CITY, NV 89703-4634
(775) 883-7811
Mailing address
1505 MEDICAL PKWY, CARSON CITY, NV 89703-4634
(775) 883-7811
(775) 883-7871
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
01042472
NV
207N00000X
Dermatology Physician
Primary
PA-2350
NV
363AM0700X
Medical Physician Assistant
PA2350
NV
Other
Enumeration date
08/16/2011
Last updated
06/01/2023
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