LACIE TARA MADISON

PENSACOLA, FL
NPI1588808687
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207PP0204X Emergency Medicine, Pediatric Emergency Medicine
(Licence: FL  9463502)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: FL  ARNP9463502)
Enumeration Date2009-04-21
Last Update Date2024-04-17
Business Address
Mrs. LACIE TARA MADISON CRNP
5151 N 9TH AVE
PENSACOLA, FL 32504-8721
Phone number: 850-416-7000
Mailing Address
Mrs. LACIE TARA MADISON CRNP
26487 US HIGHWAY 98
ELBERTA, AL 36530-2709
Phone number: 251-752-7206