| NPI | 1669814497 |
|---|---|
| Former Name | DANNA MARLENE MADSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MT 242347) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MT 48204) |
| Enumeration Date | 2013-07-22 |
| Last Update Date | 2024-09-04 |