Madison, Elizabeth E

Madison, Elizabeth E is an individual health care provider with primary practice located at 2420 W Pierce St Ste 100, Carlsbad NM 88220-3543. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Madison, Elizabeth E can be contacted via phone (575) 234-1855.

Contact Information

Primary practice address
2420 W Pierce St Ste 100 Carlsbad NM 88220-3543
Phone: (575) 234-1855
Fax: (575) 234-2854
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R20333 New Mexico

Profile Details

NPI number 1033162292
LBN Legal business name Madison, Elizabeth E
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Aug 27th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033162292 NPPES
New Mexico Other P00319597 RAILROAD MEDICARE
New Mexico Other 00NM006E09 RAILROAD MEDICARE
New Mexico MEDICAID 40322581 RAILROAD MEDICARE

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