Individual
MADELENA P PICARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1229 3RD ST SW, ROANOKE, VA 24016-4611
(540) 512-5200
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110005508
VA
363A00000X
Physician Assistant
10466051-1206
UT
Other
Enumeration date
09/09/2016
Last updated
11/06/2025
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