Individual
RENEE M MADDEN
Active
Individual
RENEE M MADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
40553
TN
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
37587
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009934486
—
AL
05
—
02750818
—
MS
05
—
0717173
—
IA
05
—
150215502
—
TX
01
—
150215503
CSN
TX
05
—
158594001
—
AR
05
—
200071130A
—
OK
05
—
200378480A
—
KS
05
—
200803590A
—
IN
05
—
207368903
—
MO
05
—
5440667
—
TN
01
—
8CL613
BCBS
TX
05
—
Q020362
—
TN
Enumeration date
12/22/2005
Last updated
12/01/2017
Update your record
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