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Individual

BRIANNE MICHELLE MADSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

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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